Advance Directives (AD) Education Program Methodology Paper

Great Essays
Methodology
IRB Approval The Advance Directives (AD) education program methodology was a culmination of logical and organized sequential events that commenced upon Prairie View A&M University Institutional Review Board (IRB) formal approval to conduct the project. Adhering to protocol, with respect to the education program participants and safety, the IRB approval process began with the formal review of minimal risks. It also entailed equitable subject selection, and measures of privacy protection, which was outlined in the IRB application. Special attention focused on maintaining appropriate safeguards for vulnerable education program subjects, such as the elderly, and determined the level of risks.
Protection of Human Subjects The
…show more content…
Selecting a healthcare proxy.
5. Finalizing advance directives.
Phase 4: Questions and answers. A 15-minute question and answer period followed the presentation, which allowed for class attendees to ask questions and voice their concerns.
Trust, openness, and professionalism were adhered to at all times during educational dialogue. Participants were encouraged to voice additional concerns and ask more questions as subject matter and discussions evolve.
This approach fostered a trusting relationship and allowed participants to feel invested throughout the educational program. The participants were given opportunities throughout the implementation process to discuss various concerns and fears surrounding the topic of end of life planning. A review of the literature shows that knowledge gaps exist in relation to settings, social desirability bias, low response rates and inability to change deep-seated beliefs of mistrust (Carr, 2011; Scharff et al., 2010; Zhou et al., 2010).
…show more content…
The physical space, the chapel area of the church, and the use of A/V equipment for the purpose of the class was provided and the powerpoint presentation was on two 100 inch screens. Handouts included the following: (1) general Advance Directive definitions form, (2) copies of State of Texas advance directives (Appendix C) and (2) booklets obtained from The U.S. Department of Health and Human Services’ National Institute on Aging. The titled booklets that were included in the class are Advance care planning: Tips from the National Institute on Aging, and A Guide for older people: Talking with your Doctor (National Institute on Aging, 2014a; National Institute on Aging,

Related Documents

  • Decent Essays

    Tommi Christoff PHI 1600 Advance Directive  Asking for Alex: County mom becomes advocate for pediatric advance directives http://www.enewscourier.com/news/asking-for-alex-county-mom-becomes-advocate-for-pediatric-advance/article_8fe33ddc-6d46-11e5-8099-e76e0dfe412f.html Alex Hoover, 14, has mitral valve stenosis, a condition in which Alex’s mitral valve is very narrow and limits blood flow to his heart and lungs. Alex was also diagnosed with a form of autism that limits his social interactions with other people. He still receives education through a hospital homebound program provided by the county school system. Alex worked hard to make a few friends through the program and wishes to see those friends for a few hours at school each week.…

    • 419 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    A wider range of quantitative or mixed method studies is also needed to explore ways to implement and monitor effective, end of life care educational tools within the health care system. Limited research data is available that discusses the pros and cons of utilizing the latest tools and innovations to facilitate end of life care conversations and assist physicians with timely hospice referrals. Further quantitative and qualitative studies are needed that compare the effectiveness of physicians having end of life care conversations early in the disease trajectory as opposed to days or hours before a patient expires. Research that uses the…

    • 1635 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    We are currently, reviewing and revising standard operating procedures that factor in changes that have occurred since I began the program. We have since trained an Internal Review Panel of members who review these appeals. With feedback from program staff and the office of Patient Advocate, we have implemented a new process which allows the Caregiver Support Program staff to receive appeals directly, create a statement of issue more quickly and forward it along with a packet of information for the Internal Review Board to evaluated. All of which provides a standard and objective review for the Caregivers and Veterans. I have assisted with revising associated documents including Standard Operating Procedures, letters, PowerPoint and Memoranda.…

    • 568 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Living Old Video Summary

    • 261 Words
    • 2 Pages

    Older adults' main health concern is managing their chronic illnesses on a day to day bases. The video also demonstrated the need for specialists in geriatrics. We need more doctors, nurses and home health aides that specialize in geriatric. Due to their old age, they require assistance from either family or through health services. In the video, there was a patient…

    • 261 Words
    • 2 Pages
    Decent Essays
  • Superior Essays

    This care plan shows how a nurse’s thinking and actions are molded to fit a patient’s needs. Patient’s Story C.A. is an 89 year old female who is a resident of the Newcastle Place long term care facility. She grew up in Chicago as an only child with her parents. She attended high school and then went on to work as a…

    • 1988 Words
    • 8 Pages
    Superior Essays
  • Great Essays

    The Terri Schiavo Case

    • 1369 Words
    • 6 Pages

    An advanced directive is a “legal document that specifics an individual’s healthcare wishes in the event that he or she has a temporary or permanent loss of competence.” (M. S. Brodnik,…

    • 1369 Words
    • 6 Pages
    Great Essays
  • Great Essays

    Care Conference Case Study

    • 1258 Words
    • 6 Pages

    Care conferences are held for every person receiving health care at home or in a care facility. They help the “care team” ~ everyone involved in the person’s care ~ share information and work together to meet the person’s needs (1). In this case study, I am the LPN who is responsible to organize a care conference for three of the residents in the residential home that I work with. To organize this care conference, it is imperative that I will fully know the goals for each of the resident.…

    • 1258 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    Although we may not want to think about it for ourselves just yet, we do need to be thinking of our patients that we take care of in terms of what they would want to have done for themselves in the event they couldn’t make their own decisions. At our age who even understands what an advance directive is? A living will? Why would I need that when I am only 28 years old? Honestly, we should all have one when we are old enough to speak our minds and make decisions for ourselves because you never know what could happen.…

    • 961 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Government When it comes to death and dying, there are many legal laws and regulations that come into play. For example, the North Carolina Department of the Secretary of State Advance Health Care Directive Registry. These are where legal documents where you give instructions about your health care if you are not able to speak for yourself (Marshall, 2007). The different types of Advance Health Care Directives are a power of attorney, “declaration of a desire for natural death”, instructions for treatment, and “declaration of anatomical gift” (Marshall, 2007).…

    • 980 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Agcp Personal Statement

    • 505 Words
    • 3 Pages

    Although FNPs fill an important role in our health care system, focusing my studies and practice on gerontology will allow me to better provide for the older adult population. My first semester clinical site was on a medical-surgical floor in Medical Center North, and most of the patients on that unit are older adults who were from surrounding rural counties. Throughout this rotation, my patients taught me the immense difficulty of managing chronic disease on top of working, parenting, and maintaining quality of life, especially when providers are inaccessible. Meeting with residents at Cumberland View Towers for Community Heath has re-enforced the complexity associated with primary care in older adults. As health issues increase in complexity and resources decrease, it is difficult for patients to…

    • 505 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Assisted living care has a primary focus “to provide personalized, resident centered care in order to meet individual preferences and needs”. These facilities provide more than just health and medical care, which is why individuals who settle in assisted living facilities are typically referred to as residents, not patients. Long-term care and nursing homes are terms often used interchangeably with assisted living. Around 54% of the residents in assisted living are over the age of 85. In a proportion of these establishments (45%) resides patients who suffer from mental irregularities, such as Alzheimer’s disease or dementia (3).…

    • 1470 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Aging In America

    • 1081 Words
    • 5 Pages

    Aging is inevitable in all living things. As individuals age, a number of things occur, both mental and physical. Graying hair and wrinkled skin are external signs of aging and the most noticeable. Cognitive changes, which are associated with mental processes such as sensation and perception, memory, intelligence, language, thought, and problem-solving, occur among aging adults (American Psychological Association, 2015). People age at different rates depending on genetics, diet, culture, activity level and environmental exposure.…

    • 1081 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Define the term, “appropriate education.” According with IDEA (1990), a free, appropriate education required an individualized education program (IEP) designed to provide "educational benefit" for a person with disabilities and consistent with the individual needs. This benefit includes related services and provisions involving evaluation, placement, and procedural…

    • 1319 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    This growing group will have increasing education levels, including more minority elderly, and include more women than men. The most vulnerable are older single women with low incomes, baby boomers with less education, and minority groups with low economic status (Woodside & McClam, 2009). Those aged 85 and older are also at risk. Addressing issues associated with physical, social, mental, and emotional decline means providing support to aging clients and their family Woodside & McClam, 2009). There are three models that represent different orientations in service delivery: the medical model, the public health model, and the human service model.…

    • 943 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Transparency and teaching within palliative care also empowers the family to be involved in understanding and participating in caring for the…

    • 1104 Words
    • 5 Pages
    Improved Essays