Diagnosis, prognosis and awareness of dying in nursing homes: towards the <scp>G</scp>old <scp>S</scp>tandard?

Abstract

Advance care planning can reduce the distress from and number of inappropriate hospital admissions, but requires determination and consistent application of the approach. This can be very challenging in the face of staff rotation and the unpredictability both of the dying trajectory and the decision-making of some out of hours medical staff.