II. Types: Concepts in Advance Care Planning
III. Protocol: Process for Advance Care Planning
- Document patient's values and cultural beliefs
- Determine health care preferences when patient healthy
- Patient selects Durable Power of Attorney
- Ongoing dialog with patient and their family
IV. Approach: Gradual introduction for patients regarding Advanced Directives
- Routine patient visits at ages 50 to 65 years old
- Provide Advance Directive forms
- Consider mailing prior to preventive health visits
- Consider including as link from online appointment scheduling
- Review forms and answer questions at each routine physical exam
- Consider referral to clinic nurse for discussion
- Consider group sessions for education about Advance Directives
- Dialogue example
- "How would you like to be cared for if you had a devastating injury or illness"
- Provide Advance Directive forms
- Diagnosis and maintenance of progressive chronic disease
- Discuss how health changes have impacted patient's Advance Directive goals
- Update forms to account for these changes
- Increased Frailty and dependency (e.g. Nursing Home Admission)
- Discuss prognosis and patient's Advance Directive goals
- Discuss Resuscitation and life support options
- Update forms
V. Resources
- Lynn: Improving care for the end of life
- National Hospice and Palliative Care Organization
Images: Related links to external sites (from Bing)
Related Studies
| Definition (MSH) | Discussions with patients and/or their representatives about the goals and desired direction of the patient's care, particularly end-of-life care, in the event that the patient is or becomes incompetent to make decisions. |
| Concepts | Health Care Activity (T058) |
| MSH | D032722 |
| French | PAS (Planification Anticipée des Soins), Planification anticipée du projet thérapeutique, Planification anticipée des soins |
| Swedish | Förhandsplanering av vård |
| Czech | předběžné plánování péče |
| Finnish | Hoitotahdosta keskusteleminen |
| Russian | MEDITSINSKOI POMOSHCHI PLANIROVANIE INDIVIDUAL'NOE, МЕДИЦИНСКОЙ ПОМОЩИ ПЛАНИРОВАНИЕ ИНДИВИДУАЛЬНОЕ |
| English | Advance Care Planning, advance care planning, advance health care planning, Advance Health Care Planning |
| Japanese | アドバンスケア計画 |
| Italian | Pianificazione preliminare dell'assistenza sanitaria, Pianificazione preliminare dell'assistenza |
| Polish | Planowanie opieki wyprzedzające |
| Norwegian | Forhåndsplanlegging av pleie, Forhåndsplanlegging av terminal pleie, Forhandsplanlegging av pleie, Forhandsplanlegging av terminal pleie |
| German | Advance Care Planning |
| Dutch | Professionele-zorgplanning |
| Portuguese | Planejamento Antecipado de Cuidados |
| Spanish | Planificación Anticipada de Atención |
