Advance care planning

Advance care planning is a process that enables individuals with decisional mental capacity to make plans about their future health care.[1] Advance care plans provide direction to healthcare professionals when a person is not in a position to make and/or communicate their own healthcare choices. Advance care planning is applicable to adults at all stages of life.[2]

Participation in advance care planning has been shown to reduce stress and anxiety for patients and their families, and lead to improvements in end of life care.[3] Older adults are more directly concerned as they may experience a situation where advance care planning can be useful. However, only a small portion of elderly use them.[4][5]

The main components of advance care planning include the nomination of a substitute decision maker, and the completion of an advance care directive.

  1. ^ Rietjens, Judith; et al. (September 2017). "Definition and recommendations for advance care planning: an international consensus supported by the European Association for Palliative Care" (PDF). The Lancet. 18 (9): E543 – E551. doi:10.1016/S1470-2045(17)30582-X. PMID 28884703.
  2. ^ "A National Framework for Advance Care Directives" (PDF). Australian Health Ministers' Advisory Council. September 2011. Archived from the original (PDF) on 26 January 2014. Retrieved 17 December 2013.
  3. ^ Detering KM, Hancock AD, Reade MC, Silvester W (March 2010). "The impact of advance care planning on end of life care in elderly patients: randomised controlled trial". BMJ. 340. BMJ Publishing Group Ltd: c1345. doi:10.1136/bmj.c1345. PMC 2844949. PMID 20332506.
  4. ^ Cattagni Kleiner A, Santos-Eggimann B, Fustinoni S, Dürst AV, Haunreiter K, Rubli-Truchard E, Seematter-Bagnoud L (April 2019). "Advance care planning dispositions: the relationship between knowledge and perception". BMC Geriatrics. 19 (1): 118. doi:10.1186/s12877-019-1113-3. PMC 6480869. PMID 31014271.
  5. ^ Hopkins, Sarah A; Bentley, Allison; Phillips, Veronica; Barclay, Stephen (27 May 2020). "Advance care plans and hospitalized frail older adults: a systematic review". BMJ Supportive & Palliative Care. 10 (2): 164–174. doi:10.1136/bmjspcare-2019-002093. ISSN 2045-435X. PMC 7286036. PMID 32241957.
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