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Audit of advance care planning documentation for Alzheimer’s disease in Brunei
, 1
Affiliations- RIPAS Hospital, Brunei Darussalam, RIPAS Hospital, Jalan Putera Al-Muhtadee Billah, BA1710 Bandar Seri Begawan, Brunei Darussalam
open access
Abstract
The documentation of advance care plans in clinical records of speciality clinics in Brunei for Alzheimer’s
disease was audited. Among the 168 patients with Alzheimer’s disease, the median age was 80 years.
Two-thirds (106) had moderate-to-severe dementia, of which 9 (8.5%) were on enteral feeding and
64 (60.4%) did not have documented discussions regarding feeding preferences. There were no documented
discussions regarding preferences on cardiopulmonary resuscitation in 57 (53.8%), or a proxy
decision-maker in 72 (67.9%). Advance care planning in Alzheimer’s disease could be improved in terms
of initiating discussions and documenting preferences in clinical records, especially for speciality clinics
and for those in moderate-to-severe stages of the disease.
Abstract
The documentation of advance care plans in clinical records of speciality clinics in Brunei for Alzheimer’s
disease was audited. Among the 168 patients with Alzheimer’s disease, the median age was 80 years.
Two-thirds (106) had moderate-to-severe dementia, of which 9 (8.5%) were on enteral feeding and
64 (60.4%) did not have documented discussions regarding feeding preferences. There were no documented
discussions regarding preferences on cardiopulmonary resuscitation in 57 (53.8%), or a proxy
decision-maker in 72 (67.9%). Advance care planning in Alzheimer’s disease could be improved in terms
of initiating discussions and documenting preferences in clinical records, especially for speciality clinics
and for those in moderate-to-severe stages of the disease.
Keywords
advance care planning, Alzheimer’s disease, cardiopulmonary resuscitation, dementia, enteral nutrition
About this articleTitle
Audit of advance care planning documentation for Alzheimer’s disease in Brunei
Journal
Palliative Medicine in Practice
Issue
Article type
Brief communication
Pages
66-68
Published online
2022-01-14
Page views
4549
Article views/downloads
221
DOI
Bibliographic record
Palliat Med Pract 2022;16(1):66-68.
Keywords
advance care planning
Alzheimer’s disease
cardiopulmonary resuscitation
dementia
enteral nutrition
Authors
Sanny Zi Lung Choo
Nadzirah Rosli
Shyh Poh Teo
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