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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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Advance care planning in hospitals

Advance care planning in hospitals

Chapter:
(p.160) Chapter 15 Advance care planning in hospitals
Source:
Advance Care Planning in End of Life Care
Author(s):

Clare Marlow

Karen Groves

Premila Fade

Publisher:
Oxford University Press
DOI:10.1093/oso/9780198802136.003.0015

This chapter outlines the challenges and opportunities surrounding advance care planning (ACP) within the hospital setting. Although the hospital environment may not seem the obvious place for future care planning, the triggers to these conversations may occur during a hospital admission. Around a third of all patients in general hospitals are likely to be in the last year of life and nearly 90% of people who die are hospitalized in the last year of life. ACP can help improve end-of-life care in hospital, with the potential to improve communication, increase quality of life and well-being of patients and those important to them, reduce use of futile and often unwanted treatments and unnecessary hospitalizations, and improve patient and family satisfaction with hospital care. Recognition that someone is in the last year of life, good communication skills, and a clear process for documentation and dissemination are key to successful ACP in hospitals.

Keywords:   advance care planning, hospital, end-of-life care, prognostication, comprehensive geriatric assessment

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