Person-directed care planning Foundations, elements, barriers, facilitators, and outcomes
We conducted a scoping review to understand how person-directed care planning (PDCP) and related care planning practices (e.g., advance care planning) are implemented in various care contexts with bearing on how PDCP might be implemented with long-stay nursing home residents. The literature was systematically coded, and the coded information was analyzed to identify substantive themes. The key themes address: (i) ontological foundations of PDCP, including humanist philosophy; (ii) essential elements of PDCP, such as knowing the person and integrating the person’s goals in care planning ; (iii) challenges to PDCP, including the limited time available for care planning activities ; (iv) facilitators of PDCP, such as national regulatory mandates ; and (v) outcomes of PDCP, including its influence on organizational culture . We describe further research needed on how current care planning practices can be reformed to achieve PDCP, and how regulatory enforcement and monitoring processes might better support PDCP in practice.
Lepore, M., Scales, K., Thach, T., Porter, K., Anderson, R., McConnell, E., ... Corazzini, K. (2016). Person-directed care planning: Foundations, elements, barriers, facilitators, and outcomes. Gerontologist, 56(Suppl_3), 128. https://doi.org/10.1093/geront/gnw162.511