Advance Care Planning in the Delivery of Adult Protective Services
Advance care planning, advance directives, elder abuse, end-of-life care, adult protection, adult protective services (APS)
In ensuring the safety and protection of older adults from abuse and exploitation, adult protective services (APS) workers face a variety of situations involving serious illness and end-of-life conditions. Many older adults encountered in APS will present with one or more chronic conditions that may warrant discussion of advance care planning with clients and their families. This study surveyed APS workers (n = 508) in 21 states regarding encounters with end-of-life situations and the practice of future care planning. Results revealed that three-fourths of APS workers encounter clients with serious illnesses and about two-thirds do discuss planning in advance for care. More than one-half of the respondents indicated client incapacity and refusal to address future care needs as barriers to discussing planning in advance for care. Recommendations to enhance advance care planning among APS workers are discussed.
Digital Object Identifier (DOI)
Citation / Publisher Attribution
Journal of Social Service Research, v. 35, issue 4, p. 311-321
Scholar Commons Citation
Csikai, Ellen L. and Black, Kathy, "Advance Care Planning in the Delivery of Adult Protective Services" (2009). Aging Studies Sarasota Manatee Campus Faculty Publications. 23.
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