Article Text

  1. A. L. Stein
  1. University of Washington School of Medicine, Seattle, WA


Purpose Eureka, Montana has a high percentage of people who are retired and/or over the age of 65. This population consumes the majority of health care services in Eureka. Many of these services are related to chronic and terminal illnesses. Observation indicated that most patients did not understand what end-of-life choices were or how to proceed with advance care planning. A project was designed to examine community models for disseminating advance care planning information and to aid patients with the planning itself.

Methods A literature search was performed using PubMed to examine community models for advance care planning. A local agency, Faith in Action, was identified to partner with in this venture. A community presentation on advance care planning was developed, and the proposed model was created and given to Faith in Action for implementation. An informational pamphlet was also created for use by the local health care system.

Summary It is important to have a community agency that can help each person assess his/her own needs and guide them through the process of developing an advance care plan in the context of their values. The service will enhance community awareness about end-of-life health care and support the crucial need for communication about advance care planning with the individual's health care provider and loved ones.

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