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Dawn Elston

As seen in: Canadian Family Physician, Journal of the American Medical Directors Association
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Articles by Dawn Elston

A Modified World

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By Michelle Howard, Dawn Elston, Brian De Vries, Sharon Kaassalainen
| Longwoods Publishing
Abstract This paper reports findings from a modified World Café conducted at a palliative care professional conference in 2019, where input on tools to support advance care planning (ACP) was solicited from healthcare practitioners, managers and family members of patients. Barriers to ACP tool use included insufficient structures and resources in healthcare, death-avoidance culture and inadequate patient and family member engagement.
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A Multicenter Study to Identify Clinician Barriers to Participating in Goals of Care Discussions in Long-Term Care

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By Henry Siu, Dawn Elston, Neha Dasgupta Verified, Amie Vahrmeyer
| Journal of the American Medical Directors Association Verified
Goals of care (GoC) discussions between a person, their substitute decision-makers (SDMs), and the health care team are vital as they prepare SDMs to make future health care decisions when one is deemed to not have cognitive capacity to make such decisions. GoC discussions are an integral part, but not synonymous with, advance care planning (ACP).
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Barriers to and enablers of advance care planning with patients in primary care

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By Michelle Howard, Carrie Bernard, Doug Klein, Dawn Elston
| Canadian Family Physician Verified
AbstractObjective To identify barriers to and enablers of advance care planning (ACP) perceived by physicians and other health professionals in primary care.Design Cross-sectional, self-administered survey.Setting Ontario, Alberta, and British Columbia.Participants Family physicians (n = 117) and other health professionals (n = 64) in primary care.Main outcome measures Perceived barriers relating to the clinician, characteristics of patients, and system factors, rated on a 7-point scale from...
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