Advance care planning in retirement and nursing homes

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// ]]> </script></a> </p> </div> </div> </li> </ul> </nav> <div class="lang"> <ul class="language-nav"> <li class="language-nav-item DE"> <a href="/de/Ethik/Themen-A-bis-Z/Gesundheitliche-Vorausplanung/GVP-in-Pflegeheimen.html">DE</a> </li> <li class="language-nav-item FR"> <a href="/fr/Ethique/Apercu-des-themes/Projet-de-soins-anticipe/Etablissements-medico-sociaux.html">FR</a> </li> <li class="language-nav-item EN active"> <a href="/en/Ethics/Topics-A-to-Z/Advance-care-planning/Retirement-and-nursing-homes.html">EN</a> </li> </ul> </div> </div> </div> </div> </header> <div class="wrapper"> <div class="content-wrapper"> <div class="title-bg"></div> <div class="content-container"> <h1>Advance care planning in retirement and nursing homes</h1> <p class="ST M-ST"> <a href="/en.html">SAMS</a> » <a href="/en/Ethics.html">Ethics</a> » <a href="/en/Ethics/Topics-A-to-Z.html">Topics A–Z</a> » <a href="/en/Ethics/Topics-A-to-Z/Advance-care-planning.html">Advance Care Planning</a> » <a href="/en/Ethics/Topics-A-to-Z/Advance-care-planning/Retirement-and-nursing-homes.html">ACP in retirement and nursing homes</a> </p> <div class="content"> <div class="textabschnitt"><p class="LEAD M-LEAD"> Elderly people often live in a retirement or nursing home when their state of health no longer allows them to remain at home, even with the support of relatives and/or home care services. For this group of people, the «Roadmap for the implementation of advance care planning (ACP) in Switzerland» recommends a detailed or disease-specific ACP.</p></div> <div class="text-GT"> <div class="GT M-GT"><p>People in long-term care institutions are an important yet vulnerable group when it comes to ACP. Also in this setting, a person should have the opportunity to decide autonomously how they would like to be treated and cared for in the event of future incapacity. Studies have shown, however, that implementing ACP in retirement and nursing homes is challenging, for example because elderly people are still largely unaware of advance directives. Another challenge is that the need for long-term care in Switzerland will have increased by 50% by 2040. Read more: Obsan report 03/2022 in <a href="http://www.obsan.admin.ch/de/publikationen/2022-bedarf-alters-und-langzeitpflege-der-schweiz" target="_blank">German</a> or <a href="https://www.obsan.admin.ch/fr/publications/2022-bedarf-alters-und-langzeitpflege-der-schweiz" target="_blank">French</a>.</p> <p> </p> <p>People in retirement and nursing homes are a particularly important group for whom ACP should be strengthened. In particular, people with multimorbidities, increasing frailty and/or early dementia should be given the opportunity and support to reflect deeply on their personal values and therapeutic goals. Their wishes should be put in writing if they so choose, and made available to their caregivers. ACP allows each person to reflect on and document their personal wishes for or against certain medical interventions in the event of future incapacity.</p> <p> </p> <p> </p> </div> </div><div class="text-GT"> <h2>Subproject of the national working group ACP</h2> <div class="GT M-GT"><p>The <a href="/en/Ethics/Topics-A-to-Z/Advance-care-planning.html">national working group ACP</a> has set up an interprofessional sub-working group on the implementation of ACP in retirement and nursing homes, chaired by Dr Gabriela Bieri-Brüning, Zürich. The sub-working group aims to develop practical recommendations for the integration of ACP in long-term care, taking into account the specific circumstances and possibilities of each institution.</p> <p> </p> <p> </p> </div> </div><div class="text-GT"> <h3>National survey on ACP in retirement and nursing homes</h3> <div class="GT M-GT"><p>To find out how ACP is currently handled and implemented in Swiss retirement and nursing homes, the sub-working group conducted a national survey in spring 2024. This has been completed and the results are being evaluated. They will serve the working group as a basis for practical recommendations. </p> <p> </p> <p>More information in the SAMS Bulletin 2/2024 «Survey on ACP: Added value for care clearly confirmed» in <a href="/dam/jcr:70b00eb8-28af-419f-a1e8-c23d9fec889b/bulletin_assm_2024_2_enquete_prosa.pdf">French</a> and <a href="/dam/jcr:6e1ae099-fb32-4ec1-ad34-c2ce5ad237a7/bulletin_samw_2024_2_umfrage_gvp.pdf">German</a>.</p> <p> </p> <p> </p> </div> </div><div class="text-GT"> <h3>Composition of the sub-working group</h3> <div class="GT M-GT"><p>Dr Gabriela Bieri-Brüning, Zürich, Chair, Geriatrics/Inpatient Long-term Care</p> <p>Marie-Rose Barben, Frutigen, Nursing Care</p> <p>Jikkelien Bohren, Basel, Counselling Organization Advance Care Planning</p> <p>Dr Annette Ciurea, Zürich, Geriatrics/Palliative Care</p> <p>Dominique Elmer, St. Gallen, Long-term Care</p> <p>Renate Gurtner Vontobel, MPH, Bern, Palliative Care</p> <p>Dr Manya Hendriks, SAMS, Bern (ex officio), Ethics</p> <p>Dr Jianan Huang, Basel, Health Sciences</p> <p>Isabelle Karzig-Roduner, RN, MAE, MScN, Zürich, Advance Care Planning</p> <p>RA lic. iur. Petra Kropf Giger, Zürich, Law</p> <p>Dr Larissa Müller Enrile, Ponte Tresa, Long-term Care</p> <p>Dr Eve Rubli Truchard, Lausanne, Geriatrics/Palliative Care</p> <p>Dr Reka Schweighoffer, Bern, Long-term Care</p> <p>Daniela Trachsler, Zürich, Advance Care Planning</p> <p>Dr Petra Vayne-Bossert, Genève, Palliative Care</p> <p>Professor Dr Franziska Zúñiga, Basel, Nursing Sciences</p> <p style="margin-left:0cm; margin-right:0cm"> </p> <p style="margin-left:0cm; margin-right:0cm"> </p> </div> </div><div class="text-GT"> <h2>Related topics</h2> <div class="GT M-GT"><p><a href="/en/Ethics/Topics-A-to-Z/Advance-care-planning.html">Advance Care Planning</a></p> <p><a href="/en/Ethics/Topics-A-to-Z/Dying-and-death.html">Dying and Death</a></p> <p> </p> <p> </p> <p> </p> <p> </p> </div> </div> </div> </div> </div> <div class="kontakte-m"> <h4>CONTACT</h4> <p class="GT M-GT"> Dr. Manya Hendriks <br>Project Manager Ethics <br>Tel. +41 31 306 92 77 <br><a href="javascript:dcmt('146083141138147137151142144152101152134146156083136141');"><script type="text/javascript"> // <![CDATA[ document.write(dcmadr("146083141138147137151142144152101152134146156083136141")); // ]]> </script></a> </p> </div> <div class="logo-aux-m"> <a href="http://www.akademien-schweiz.ch/en/current/news" target="_blank"> <img src="/.resources/samw/webresources/svg/i_logo_header_desktop_a_en.svg"/> </a> </div> <div id="cookie"> <div class="flex-item"> <span><p>We use cookies. 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Advance care planning in retirement and nursing homes