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Advance Care Planning: Empowering older frail people to document their end of life wishes

Peter Gonski , Melissa Chan , Ken Hillman

Abstract

Objectives: To determine the features that are required to increase uptake of Advance care directives (ACD) Methods: We conducted a study involving older patients attending aged care outpatient clinics and/or receiving outreach services between March,2021 and December, 2022.Patients were assessed using tools related to frailty,end of life and empowerment.If the person agreed to complete an ACD,they were guided through it and it was subsequently uploaded on the eMR. Results: Of 170 patients referred to complete an ACD,47% were completed.These patients had lower frailty and SPICT scores.The frailty and SPICT tools were easier to use,the PAM was difficult to use and assess.Patients did however show satisfaction in the process. Conclusions: Patients completing ACD tended to be a little less frail and less likely to die in the following 12 months.Increased uptake of ACD was more likely if the less frail are targeted,assisted through the process by a health professional at a time and place that suited the person.

AH25060  Accepted 22 March 2025

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