Alberta Health Services has developed two videos (Videos) to help with decision making about ACP and goals of care designations(GCD). GCD are medical orders of care that (a) serve as a communication tool for HCP to assist in rapid decision making; and (b) guide HCP and patients regarding the general intent and locations of care, and interventions that are to be provided. This study will compare ACP behaviours and GCD preferences for participants who have seen the Videos with those who have not and measure the change in those behaviours and preferences at 1, 2 and 3 months. It will also look at the impact of the Videos on health care costs and service use. Participants from five patient groups (metastatic lung cancer, colorectal cancer, gynecological cancer, renal failure, and heart failure) were selected as representative of where ACP should ideally be occurring, and where data on ACP implementation is presently most lacking, and as venues in which this research is most feasible. Collecting information about patients' ACP and GCD preferences may help improve AHS decision making tools and more generally help healthcare leaders plan ways to better engage patients in the ACP process.
This Guide was written for health authorities in Canada to support the development of Advance Care Planning (ACP) policies and programs. It is intended to provide general guidance only and would need to be tailored by individual health authorities to their particular situation and legislation. Central to the Guide is a model designed to be adapted to the circumstances of each facility or region. For example, the model can be used to inform both individual health care facilities and broader health care systems. The model is based on the experience of several programs in Canada, Australia and the United States, with a primary focus on Canadian approaches. It is composed of four interdependent building blocks and is situated within a policy and resource context. Linkages to organizational and jurisdictional policies and regulatory frameworks are included in the model, as are ways to link advance care planning to a variety of existing approaches and programs, such as chronic disease management and seniors’ programs.
This audio recording of CBC's The Current with Anna Maria Tremonti provides insights into the existance of Death Cafe events in Canada and the value of these events as a way for individuals to deal with the inevitable.
Dr. Vicky Scott, presented on the Strategies and Actions for Independent Living (SAIL) program adapted for First Nations communities in British Columbia. The goal of the program for fall and fire prevention is to close an important health gap and contribute to the consistency of care among First Nation elders.
This systematic literature review and narrative synthesis from the UK aimed to investigae the attitudes of the public and healthcare professionals to Advance Care Planning discussions with frail and older people.
The purpose of this report is to provide insight into how diverse cultural and Aboriginal groups in Canada might respond to advance care planning (ACP) becoming a part of the health care system. The aim is to increase understanding of the diverse perspectives so that we can ensure ACP practices are respectful, sensitive, and not offensive to individuals and their families from various cultural and Aboriginal groups.
This presentation details the findings of a systematic review of fall risk assessment tools including why risk assessment is needed, how to select a risk assessment tool and best practice for the application of assessment.