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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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Communication skills and Advance Care Planning

Communication skills and Advance Care Planning

(p.261) Chapter 23 Communication skills and Advance Care Planning
Advance Care Planning in End of Life Care

Jackie Beavan

Carolyn Fowler

Sarah Russell

Oxford University Press

This chapter provides clarification of communication skills and Advance Care Planning (ACP), evidence for the value of effective communication in ACP, key communication skills with useful examples of opening gambits, examples of blocking behaviours, models of communication and suggestions for implementation, workforce issues, and recommendations for further education and training. It notes that communicating about end of life care is challenging but essential. Defining communication and communication skills can be a complex business. There is plenty of evidence to suggest that effective communication is a key element in allowing patients to decide how they are cared for at the end of life. Specific communication skills and models can be instrumental in encouraging patients to share concerns, ideas, and expectations, while some communication behaviours can inhibit patient disclosure. Meanwhile, a systematic approach to developing a workforce skilled in end of life communication is achievable and desirable.

Keywords:   Advance Care Planning, communication skills, blocking behaviours, end of life, patient disclosure

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