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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 chronic disease: finding the known in the midst of the unknown

Advance care planning in chronic disease: finding the known in the midst of the unknown

Chapter:
(p.272) Chapter 25 Advance care planning in chronic disease: finding the known in the midst of the unknown
Source:
Advance Care Planning in End of Life Care
Author(s):

Karen Detering

Elizabeth Sutton

Scott Fraser

Publisher:
Oxford University Press
DOI:10.1093/oso/9780198802136.003.0025

People are living longer lives with a greater burden of disease. Diseases which contribute significantly to this burden are chronic kidney disease; chronic obstructive pulmonary disease and heart failure. Technologies exist that can sustain life for patients with these disease, however patients and their families/loved ones need to know the likely outcome of their disease, its course, and all management options. Advance care planning (ACP) can assist with this process as well as ensuring that patients, families, and health care teams are aware of what treatment a patient wants—or does not want. ACP also enables the appointment of a decision maker to act on behalf of the patient should they lose capacity to make medical decisions. This chapter discusses the benefits of ACP and why it needs to be introduced early in the course of any life-limiting illness.

Keywords:   advance care planning, conversations, chronic disease, benefits, life-limiting, hope, barriers, outcomes

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