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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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Planning ahead in all areas

Planning ahead in all areas

(p.281) Chapter 26 Planning ahead in all areas
Advance Care Planning in End of Life Care

Nigel Mathers

Craig Sinclair

Oxford University Press

Advance care planning (ACP) has traditionally been identified as a means by which patients can give anticipatory directions for future medical treatment. However the narrow focus on medical treatments has been criticized by those who argue that ACP should commence early in a life-limiting illness, be an ongoing process, and encompass goals and values in a broad range of domains (e.g. cultural, spiritual, lifestyle, and/or financial). Benefits would include reduced focus on end-of-life care, alignment with person-centred care principles, and greater capacity for incorporating ‘future planning’ discussions into routine care. This approach may be accessible to a broader range of patients, enabling meaningful discussions to commence prior to, or soon after, diagnosis of a life-limiting illness. We discuss the implications of this broad approach to ACP for practitioners, patients, and family caregivers, with reference to relevant case examples.

Keywords:   goals and values, person-centred care, advance care planning, decision-making, shared decision-making, holistic

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