Helping Persons Experiencing Homelessness Complete Advance Directives: A Model for Service Learning within a Community-Academic Partnership

Woods Nash, Sandra J Mixer, Annette Mendola, Polly M. McArthur, Kylie Jackson, Bruce W. Spangler, Merrell Pressley, Caroline Darlington, Erin Conely


Despite their interest in completing advance directives (ADs), persons experiencing homelessness (PEH) appear to have fewer surrogate decision-makers and limited opportunities for advance care planning (ACP). Nursing students and faculty, a hospital bioethicist, and social service agency staff formed a community-academic partnership that helps PEH complete ADs. This unique service-learning opportunity offers a model for assisting vulnerable populations with ACP. Model effectiveness and limitations are described from each partner’s perspective in their own words.  


cultural competence; interprofessional; homeless persons; advance care planning

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