A Review of Advance Care Planning Programs in Long-Term Care Homes: Are They Dementia Friendly?

Table 4

Evaluation of advance care planning programs using the sixth criterion of the Dementia Policy Lens Toolkit.

Criteria	Casarett et al. [33]	Hanson et al. [36]*	Molloy et al. [35]	Morrison et al. [34]	Strumpf et al. [37]*
Respect and dignity
Is the policy/program flexible enough to respond to  the uniqueness of each individual?	Y	Y	Y	Y	Y
Are people with dementia and their families portrayed positively?	Y	Y	Y	Y	Y
Self-determination and independence
Does the policy/program:
Provide opportunities to make choices?	Y	Y	Y	Y	Y
Reflect knowledge of what is important to the person?	Y	Y	Y	Y	Y
Promote coping skills/strengths?	U	U	U	U	U
Promote and support option and informed choices for people with dementia and their caregivers at each phase of the disease/transition point?	N	U	U	Y	Y
Social inclusiveness/relationships/participation
Are any barriers to the participation of people with dementia and their families removed?	Y	U	Y	Y	U
Is spirituality supported?	N	Y	U	U	Y
Is a sense of mattering facilitated?	Y	Y	Y	Y	Y
Fairness and equity
Are the procedures and criteria inherent in the policy/guideline/program fair and reasonable?	Y	Y	Y	Y	Y
Does it consider individual versus collective needs?	Y	Y	Y	Y	Y
Security
Does the policy/program:
Provide the security of being able to plan for the future (appropriate house and services, death)?	Y	Y	Y	Y	Y
Protection and risk management
Does the policy/program:
Ensure that the preferences of people with dementia are taken into account as much as possible?	Y	Y	Y	Y	Y

U: unclear; Y: yes; N: no; *LTC home-wide strategy assumed that all residents are eligible for participation.
Criteria from MacCourt [4].