Table 2 Description of three types of older adults with different views and needs regarding ACP.
From: Adjusting advance care planning to older people’s needs: results from focus groups and interviews
Type of older adult (STEM profile) | 1st group: avoidant (rational, avoiding, partly trusting) | 2nd group: not motivated (social, partly trusting) | 3rd group: proactive (proactive) |
|---|---|---|---|
Reactions of different types of older people with regards to ACP: | Avoid talking about ACP & last phase of life. | Do not initiate ACP and talking about last phase of life. Do not see necessity of ACP. | Initiate ACP process. May lack relevant information. |
Most relevant ACP strategy for health professionals: | Motivation | Information | Writing down |
Implications for practice: next steps in ACP process: | • Sensitizing for relevance of ACP. • Motivating to take initial steps in ACP process. • Involving relatives or other care givers. | • Offering information about ACP. • Motivating to take next steps in ACP process. • Recording ACP-related decisions. • Sharing ACP decisions with relevant health care institutions and relatives. | • Checking whether ACP is complete and up-to-date. • Sharing ACP decisions with relevant health care institutions and relatives. |