Proxies Viewing Decision Support Video in Nursing Home Report Higher Advance Care Planning Engagement
October 3, 2019
JAMDA
Approximately one-third of older Americans die in the nursing home (NH).1 Despite the NH being a common setting for end-of-life care, it is often associated with poor family satisfaction with the quality of end-of-life care.2 Advance care planning (ACP) has been identified as a means for improving end-of-life care outcomes3 and is defined as a “process that supports adults at any age or stage of health in understanding and sharing their personal values, life goals, and preferences regarding future medical care.”4 Communication of preferences is particularly important for family members (proxies) of patients with advanced illness, who may need to make health care decisions for their loved one at the end of life.