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Advance Care Planning in End of Life Care$
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Keri Thomas and Ben Lobo

Print publication date: 2010

Print ISBN-13: 9780199561636

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780199561636.001.0001

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Overview and introduction to Advance Care Planning

Overview and introduction to Advance Care Planning

(p.3) Chapter 1 Overview and introduction to Advance Care Planning
Advance Care Planning in End of Life Care

Keri Thomas

Oxford University Press

This chapter provides an introduction to Advance Care Planning (ACP). It cites the underlying purpose and principles of ACP, in response to patient need. It reflects on the deeper significance of ACP conversations. Lastly, it presents some hope and expectations, and suggestions for planning ACP in different settings. ACP discussions are important. They are a key means of improving end of life care and of enabling better planning and provision of care in line with the needs and preferences of patients and their carers. The practice of ACP affirms the use of advance statements, in which patients clarify their wishes, needs, and preferences for the kind of care they would like to receive, and the means of leading a fuller life meanwhile. It can also include advance decisions or refusals of specific treatments including cardio-pulmonary resuscitation (CPR), and the appointment of a person to act as a proxy surrogate.

Keywords:   ACP, patient need, life care, cardio-pulmonary resuscitation, patient care, quality of life

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