Evidence-Based Practice in Dementia for Nurses and Nursing Students by Karen Harrison Dening;
Author:Karen Harrison Dening; [Неизв.]
Language: eng
Format: epub
ISBN: 9781784507978
Publisher: Jessica Kingsley Publishers
Published: 2019-04-05T20:00:00+00:00
Barriers to ACP in dementia
People with a life-limiting illness, especially dementia, are not routinely consulted about their wishes and preferences for future care. There are several potential barriers that have been identified that may contribute to a general reluctance to enter into advance care planning (Berrio and Levesque 1996) (Box 14.1).
Box 14.1: Barriers to completing an ACP
⢠Procrastination, or waiting to do it later
⢠Dependence on family for decision making
⢠Lack of knowledge about ACP
⢠Difficulty of talking about the subject
⢠Waiting for the healthcare professional to initiate a discussion by the patient
⢠Waiting for the patient to initiate discussion by the health professional
⢠Believing a lawyer is needed to fill out the forms
⢠Fatalism, or acceptance of the âwill of Godâ
⢠Fear of âsigning my life awayâ
⢠Fear of not being treated.
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