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- Julie Kinley, Lilette Denton, and Jean Levy.
- Nurse Consultant for Care Homes, Care Home Project Team, London.
- Int J Palliat Nurs. 2018 Dec 2; 24 (12): 576-583.
Background:There is international and national interest in the availability and provision of quality end-of-life care. In the UK this includes the promotion of advance care planning (ACP).Aims:To support care home staff to apply national policy on ACP in practice.Methods:A proactive document, the PErsonalised Advisory CarE (PEACE) plan, was created. An audit was undertaken of its implementation in practice in one care home.Findings:All of the residents with a PEACE plan who died (n=8) did so in their preferred place of care; only 50% of residents (3 out of 6) without a PEACE plan died in their preferred place of care. No family members declined the opportunity to have a PEACE plan conversation.Conclusion:Future care planning, rather than ACP, is required in nursing care homes. Research investigating the outcomes and cost-effectiveness of undertaking these conversations is required to further guide national recommendations.
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