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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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What are the benefits of advance care planning and how do we know?

What are the benefits of advance care planning and how do we know?

Chapter:
(p.17) Chapter 2 What are the benefits of advance care planning and how do we know?
Source:
Advance Care Planning in End of Life Care
Author(s):

Sarah Russell

Karen Detering

Publisher:
Oxford University Press
DOI:10.1093/oso/9780198802136.003.0002

This chapter provides a brief outline of the development of advance care planning (ACP) and a selective summary of the current evidence base of its benefits and challenges. It discusses the variety of policy, clinical, and legal definitions, and the interface between decision making and documentation. The concept of ACP has evolved over the years towards a broader relational communication, and this chapter also considers how conversations can help patients and their families prepare for death, review their immediate goals and hopes for the future, and strengthen their relationships. The convincing evidence base for ACP is now well established, and despite international variations in definitions and forms of implementation, there is robust evidence of its benefits within person-centred end-of-life care.

Keywords:   advance care planning, decision making, documentation, communication, patients, families, person-centred care, end-of-life care

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