About this trial
This study consists to evaluate the feasibility of a case-management intervention of Advance Care Plan (ACP) placement for elderly patients at high risk of death at twelve months discharged alive from acute geriatric medicine.
Feasibility will include the following indicators: rate of patients included and randomized, rate of patients remaining in the study, ACP rates achieved at one month.
Eligibility criteria
Qualifiers
Patients aged 75 or over.
Affiliated to a social security scheme.
Hospitalized in an acute care geriatric department
Discharged from hospital to home or residential facilities for dependent elderly people
Disqualifiers
Refusal to participate in the study expressed by the patient or his/her legal representative, if applicable.
Patients transferred to another Medicine-Surgery-Obstetrics department (only "medicine or surgery" in the elderly).
Patients transferred to follow-up care and rehabilitation, palliative care, or returning home in palliative care.
Patients who have already drawn up advance directives, chosen a trusted support person or discussed their end-of-life wishes with their doctor.
Trial design
Treatments tested in this trial
- Advance care plan
- Ergonomic analysis
- Evaluation of intervention acceptability