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| ACP C stands for Advanced Care Plan. C = Comfort Care-Goals of Care and interventions are directed at maximal comfort, symptom control and maintenance of quality of life excluding | | ACP-C stands for Advanced Care Plan - Comfort Care. Goals of Care and interventions are directed at maximal comfort, symptom control and maintenance of quality of life excluding attempted resuscitation. '''We do not directly collect whether a patient has an ACP-C. ''' |
| attempted resuscitation | |
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| For more information see: PDF of ACP form used in Region (2013): [[Media:WRHA ACP form Nov 2013.pdf | WRHA Advanced Care Plan Form]]
| | We collect related information in tmp project [[Comfort Care]]. |
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| In terms of our program, the concept is related to [[:Category:End-of-life related data | end of life data]].
| | The concept is related to some other [[:Category:End-of-life related data | end of life data]] we collect. |
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| | == Use as [[Transfer Ready DtTm tmp entry]] == |
| | Making an Advanced Care Plan of ACP-C for a patient is one criterion for setting the [[Transfer Ready DtTm tmp entry]]. |
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| == see also == | | == see also == |
| *[http://www.wrha.mb.ca/professionals/acp/index.php WRHA ACP C] | | * [https://wrha.mb.ca/advance-care-planning/ WRHA ACP-C] |
| | * PDF of ACP form used in Region (2013): [[Media:WRHA ACP form Nov 2013.pdf | WRHA Advanced Care Plan Form]] |
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| == Discussion == | | == Related articles == |
| {{Potential Change}} | | {{Related Articles}} |
| QI TEAM, Kendiss Olafson etc. have asked if database team could collect ACP ststus at admission.[[User:TOstryzniuk|Trish Ostryzniuk]] 17:12, 2015 May 29 (CDT)
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| *ACP C
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| *ACP UK (no documented ACP on the chart)
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| *ACP R
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| *ACP M+ (no cardiac recuss but accepting intubation)
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| *ACP M- (no recuss/no intubation)
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| **(If ACP M is just written with no qualifiers then one would classify as ACP M-. Since a significant proportion of patient do want intubation but do not want CPR, I do think it is useful to distinguish). Kendiss.
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| *Collecting ACP status at admission and discharge would allow us to follow:
| | {{LegacyContent |
| **-% of patient with documented ACP during ICU
| | |explanation=legacy project |
| **-Level of care at both admission and discharge
| | |successor= |
| **-% of patients with change in level of care during ICU
| | |content= |
| **-Level of care at the time of ICU death
| | We used to collect related info for Critical Care only in [[ACP Status collection in ICU]].}} |
| ==question for collectors==
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| {{Discussion}}{{discuss@task}} | |
| is this easy info to get at admission?--[[User:TOstryzniuk|Trish Ostryzniuk]] 17:12, 2015 May 29 (CDT)
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| *Yes, it easy to obtain this information at the time of admission, it is 9/10 that ACP is established in ER. Do you want us to collect when a change occurs ( often pt come in as a M and 24-72 hrs later, it is changed to APC -C ,or this occurs much later in the admission as well)--[[User:PStein|PStein]] 08:23, 2015 June 1 (CDT)
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| *I agree with Pat. Is this for ICU and Medicine?--[[User:CMarks|CMarks]] 13:50, 2015 June 1 (CDT)
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| *yes, at GGH ICU this is easy to obtain, I agree with Pat the ACP status often changes several times during an admission, do you want to capture these changes? or just ACP at admission and discharge? Is this ICU only? or medicine as well? [[User:Lkaita|Lisa Kaita]] 11:09, 2015 June 1 (CDT)
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| *At STB obtaining ACP is done from EPR and the changes are in the orders.--[[User:LKolesar|LKolesar]] 11:22, 2015 June 1 (CDT)
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| *Yes it is usually on the chart. Is this going to be just for ICUs. Lois
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| **ICU QI team has requested to collect this info. We will discuss at TASK team meeting and discuss asking Dr. Roberts for medicine.
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| ***I agree that is is usually easy to obtain. I find that it is often an "R" as a default until the MD has a chance to speak more in depth with family or the patient. So yes, it does often change throughout the stay, and my concern would be that the initial ACP status is not always the most "accurate" representation. So if it changes within the first 24 to 48 hours, which one would we enter? [[User:Mlagadi|Mlagadi]] 09:05, 2015 June 2 (CDT)
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| | [[Category:ACP]] |
| [[Category:End-of-life related data]] | | [[Category:End-of-life related data]] |
| [[Category:Take to Task team meeting]]
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