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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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ACP in hospice and specialist palliative care

ACP in hospice and specialist palliative care

(p.158) Chapter 14 ACP in hospice and specialist palliative care
Advance Care Planning in End of Life Care

Simon Noble

Oxford University Press

This chapter provides an overview of Advance Care Planning (ACP) within the hospice or specialist palliative care inpatient setting. It examines the breadth of ACP amongst the inpatient population, barriers to ACP in the hospice, triggers for ACP discussions, communication issues, and ACP as death approaches. It shows that the breadth of ACP reflects the heterogeneous population served by hospices and specialist palliative care units. ACP is a continuum and may change over several discussions or occur at unplanned moments. Teams should develop a professional culture which recognizes ACP as an integral part of holistic patient assessment. Communication of ACP wishes between professionals within primary care and inpatient units is essential. Meanwhile, successful ACP requires investment in training, specific communication skills development, and team debriefs.

Keywords:   hospice, inpatient setting, patient assessment, ACP training, primary care

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