P-31 Examining how advance care directives are used for individuals with dementia living in residential accommodation: A literature review
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
<h3>Background</h3> Advance Care Directives (ACDs) have undergone the greatest development in the United States, Australia and Canada but are less developed in Europe. There are now global initiatives supporting end of life wishes with the World Health Organisation suggesting such individuals require integrated care, which supports choice and autonomy. <h3>Aims</h3> The aim of this study was to understand and explain how Registered Nurses use ACDs for individuals with dementia living in residential accommodation, relating to: (i) introduction of ACDs; (ii) completion of ACDs and (iii) adherence to ACDs for individuals with dementia living in residential accommodation. <h3>Design</h3> This study involved selection of literature relevant to addressing the study objectives. A systematic search of academic and grey literature databases was undertaken to locate international studies addressing the study objectives. Also the study employed a network approach where manual searching of the electronically retrieved sources was performed to identify relevant references. <h3>Findings</h3> There was: (i) reduced uptake of ACDs; (ii) reduced hospital transfers and costs; (iii) improved psychological well-being of family members and (iv) satisfaction with care and quality of life. <h3>Discussion</h3> ACDs enable persons with dementia to participate in decision making for their future care long after losing capacity to do so. This is pertinent since many older individuals are actually very interested in end of life decision-making. <h3>Conclusion</h3> There was a scarcity of high quality evidence evaluating the use of ACDs with individuals with dementia. Further research is recommended on the content of ACDs.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.002 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it