A Limited Opportunity: COVID-19 and Promotion of Advance Care Planning

Background: Little is known about how COVID-19 has influenced the role of family caregivers in advance care planning (ACP). Objectives: To explore the experiences of family caregivers and ACP in the United States during the COVID-19 pandemic. Design: Exploratory sequential mixed-methods design of ca...

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Main Authors: Kara B. Dassel, Gail L. Towsley, Rebecca L. Utz, Lee Ellington, Alexandra Terrill, Debra Scammon, Alycia A. Bristol, Amber Thompson, Melody Mickens
Format: Article
Language:English
Published: Mary Ann Liebert 2021-06-01
Series:Palliative Medicine Reports
Subjects:
Online Access:https://www.liebertpub.com/doi/full/10.1089/PMR.2021.0013
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author Kara B. Dassel
Gail L. Towsley
Rebecca L. Utz
Lee Ellington
Alexandra Terrill
Debra Scammon
Alycia A. Bristol
Amber Thompson
Melody Mickens
author_facet Kara B. Dassel
Gail L. Towsley
Rebecca L. Utz
Lee Ellington
Alexandra Terrill
Debra Scammon
Alycia A. Bristol
Amber Thompson
Melody Mickens
author_sort Kara B. Dassel
collection DOAJ
description Background: Little is known about how COVID-19 has influenced the role of family caregivers in advance care planning (ACP). Objectives: To explore the experiences of family caregivers and ACP in the United States during the COVID-19 pandemic. Design: Exploratory sequential mixed-methods design of caregiver characteristics and pandemic response to ACP. Settings/Subjects: Family caregivers of care recipients with varied caregiving needs (dementia, mental illness, etc.). Measurements: Quantitative survey was done of fixed-choice questions of 82 caregivers. Semistructured qualitative telephone interviews were performed of a subsample of participants (n?=?28). Results: Some (19%) of family caregivers revisited or updated advance directives of care recipients and/or had some type of contingency plan (33%) if they were to become ill. We identified three barriers caregivers faced during the pandemic that may have limited their engagement with ACP. Conclusions: Family caregivers need education regarding ACP and specific resources that can guide and support them through the process of ACP, for both themselves and care recipients.
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spelling doaj.art-cb4863ac0b5e4d4093e6afc3e9c4391e2024-01-26T04:57:35ZengMary Ann LiebertPalliative Medicine Reports2689-28202021-06-012119419810.1089/PMR.2021.0013A Limited Opportunity: COVID-19 and Promotion of Advance Care PlanningKara B. DasselGail L. TowsleyRebecca L. UtzLee EllingtonAlexandra TerrillDebra ScammonAlycia A. BristolAmber ThompsonMelody MickensBackground: Little is known about how COVID-19 has influenced the role of family caregivers in advance care planning (ACP). Objectives: To explore the experiences of family caregivers and ACP in the United States during the COVID-19 pandemic. Design: Exploratory sequential mixed-methods design of caregiver characteristics and pandemic response to ACP. Settings/Subjects: Family caregivers of care recipients with varied caregiving needs (dementia, mental illness, etc.). Measurements: Quantitative survey was done of fixed-choice questions of 82 caregivers. Semistructured qualitative telephone interviews were performed of a subsample of participants (n?=?28). Results: Some (19%) of family caregivers revisited or updated advance directives of care recipients and/or had some type of contingency plan (33%) if they were to become ill. We identified three barriers caregivers faced during the pandemic that may have limited their engagement with ACP. Conclusions: Family caregivers need education regarding ACP and specific resources that can guide and support them through the process of ACP, for both themselves and care recipients.https://www.liebertpub.com/doi/full/10.1089/PMR.2021.0013caregivingend-of-life carepandemic
spellingShingle Kara B. Dassel
Gail L. Towsley
Rebecca L. Utz
Lee Ellington
Alexandra Terrill
Debra Scammon
Alycia A. Bristol
Amber Thompson
Melody Mickens
A Limited Opportunity: COVID-19 and Promotion of Advance Care Planning
Palliative Medicine Reports
caregiving
end-of-life care
pandemic
title A Limited Opportunity: COVID-19 and Promotion of Advance Care Planning
title_full A Limited Opportunity: COVID-19 and Promotion of Advance Care Planning
title_fullStr A Limited Opportunity: COVID-19 and Promotion of Advance Care Planning
title_full_unstemmed A Limited Opportunity: COVID-19 and Promotion of Advance Care Planning
title_short A Limited Opportunity: COVID-19 and Promotion of Advance Care Planning
title_sort limited opportunity covid 19 and promotion of advance care planning
topic caregiving
end-of-life care
pandemic
url https://www.liebertpub.com/doi/full/10.1089/PMR.2021.0013
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