- Title
- Participation in future planning by community-dwelling older Australians receiving aged care services: Findings from a cross-sectional survey
- Creator
- Bryant, Jamie; Hobden, Breanne; Waller, Amy; Clapham, Matthew; Sanson-Fisher, Robert
- Relation
- NHMRC.APP1095078 http://purl.org/au-research/grants/nhmrc/1095078 & APP1136168 http://purl.org/au-research/grants/nhmrc/1136168 & APP1105809 http://purl.org/au-research/grants/nhmrc/1105809
- Relation
- Australasian Journal on Ageing Vol. 40, Issue 4, p. 373-380
- Publisher Link
- http://dx.doi.org/10.1111/ajag.12927
- Publisher
- John Wiley & Sons
- Resource Type
- journal article
- Date
- 2021
- Description
- Objectives: To determine in a sample of older community-dwelling adults: (1) the proportion who have engaged in medical and financial planning; (2) the factors associated with advance care directive (ACD) completion and substitute decision maker (SDM) appointment; and (3) for those without an ACD, what might prompt completion. Methods: A cross-sectional survey was undertaken with individuals receiving community aged care services in metropolitan and regional communities. Data collection was conducted by case managers during a home visit. Results: Overall, 158 individuals (M = 78 years, SD = 8.7) participated (53.5% consent rate). Financial planning participation (will = 85%; enduring power of attorney = 66%) was higher than medical planning participation (SDM: 54%; ACD: 30%). No health status factors were significantly associated with ACD completion or SDM appointment. Diagnosis of a life-limiting illness was most likely to prompt ACD completion (77.6%). Conclusions: One third of older people residing in the community have completed an ACD. Strategies to improve uptake in this vulnerable population require further exploration.
- Subject
- advance care planning; advance directives; frailty; frail older adults
- Identifier
- http://hdl.handle.net/1959.13/1474863
- Identifier
- uon:49390
- Identifier
- ISSN:1440-6381
- Language
- eng
- Reviewed
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