title: Exploring the advance care planning needs of moderately to severely ill people with COPD.
abstract: BACKGROUND
  There is no clear consensus on how to approach advance care planning (ACP) with people with chronic obstructive pulmonary disease (COPD).
  
  
  OBJECTIVE
  This study aimed to explore the perceived ACP needs of people with COPD and to investigate the usefulness of a DVD in meeting these needs.
  
  
  METHODS
  A qualitative descriptive design was used. Twelve people with moderate to severe COPD were interviewed in an outpatient clinic.
  
  
  RESULTS
  From the themes elicited, a mental model was created to demonstrate how the participants engaged in a process of mental work to accept their own mortality and subsequently engage in ACP.
  
  
  CONCLUSIONS
  Health professionals should not rely solely on illness severity to initiate ACP. Rather, patients from different illness categories should be approached, but with sensitivity to their emotional cues. Participants who were receptive to end-of-life issues enjoyed the DVD. The DVD is a good medium to facilitate discussion, but would be more effective if patients were screened for readiness prior to viewing.
authors: Field Nurse, Médecins Sans Frontières, 1470 Peel, Suite 220, Montréal, Québec, H3A 1T1, Canada.
authors: Marilyse
authors: M
authors: Nguyen
authors: Jane
authors: J
authors: Chamber-Evans
authors: Alexandre
authors: A
authors: Joubert
authors: Isabelle
authors: I
authors: Drouin
authors: Isabelle
authors: I
authors: Ouellet
mesh_terms: D032722:Advance Care Planning; D000368:Aged; D001293:Attitude to Death; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D029424:Pulmonary Disease, Chronic Obstructive / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D012720:Severity of Illness Index