Evidence-Based Practice in Dementia for Nurses and Nursing Students by Karen Harrison Dening;

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 ‘will of God’

• Fear of ‘signing my life away’

• Fear of not being treated.



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