title: Barriers associated with the implementation of an advance care planning program in a prison setting.
abstract: Advance care planning is considered a best practice within health care. However, the extent to which planning occurs within prison settings is unknown. Through the course of implementing an advance care planning (ACP) program for aging and dying offenders at a medical classification center, multiple barriers were identified that need to be addressed systemically to ensure the medical wishes of offenders were known and honored. This article will outline the barriers and the steps that were taken to create systems change to promote and sustain advance care planning.
authors.affiliation: a School of Social Work , The University of Iowa , Iowa City , Iowa , USA.
authors.forename: Sara
authors.initials: S
authors.lastname: Sanders
authors.forename: Meredith
authors.initials: M
authors.lastname: Stensland
authors.forename: Jane
authors.initials: J
authors.lastname: Dohrmann
authors.forename: Erin
authors.initials: E
authors.lastname: Robinson
authors.forename: Kim
authors.initials: K
authors.lastname: Juraco
mesh_terms: D032722:Advance Care Planning / Q000458:organization & administration*; D000375:Aging; D003142:Communication; D003266:Continuity of Patient Care / Q000458:organization & administration; D006801:Humans; D057240:Patient Preference; D011330:Prisons / Q000458:organization & administration*; D019727:Proxy; D013727:Terminal Care / Q000458:organization & administration*
keywords: advance care planning; aging individuals; end-of-life care; offenders; prisons