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

Print publication date: 2017

Print ISBN-13: 9780198802136

Published to Oxford Scholarship Online: January 2018

DOI: 10.1093/oso/9780198802136.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 09 December 2021

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) and an introductory overview of the book. It affirms the importance of ACP, the strong evidence base and experience in practice. It cites the current and evolving models of ACP in the UK, linked with the Mental Capacity Act, and the use of advance statements (AS), refusals of treatment (ADRT) and nominated spokesperson (LPOA). There is encouragement that most can initiate such discussions and suggested ways to do this. It describes the evolving ACP model balancing both medical (transactional) and personal (transformational) aspects of it, with a description of the different conversations and suggested five steps in ACP to raise public awareness. There is a reflection of the deeper significance of ACP including hope and expectations, concluding with a call for ACP to become a mainstream part of care for all people nearing the end of life.

Keywords:   advance care planning, end-of-life care, concordance, medical/personal aspects, goals of care, Gold Standard Framework, spiritual, quality of life

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