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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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An introduction to advance care planning: practice at the frontline

An introduction to advance care planning: practice at the frontline

(p.26) Chapter 3 An introduction to advance care planning: practice at the frontline
Advance Care Planning in End of Life Care

Anjali Mullick

Jonathan Martin

Oxford University Press

Advance care planning (ACP) is a process of formal decision-making that aims to help patients establish decisions about future care that take effect when they lose capacity. In our experience, guidance for clinicians rarely provides detailed practical advice on how it can be successfully carried out in a clinical setting. This may create a barrier to ACP discussions which might otherwise benefit patients, families and professionals. The focus of this paper is on sharing our experience of ACP as clinicians and offering practical tips on elements of ACP, such as triggers for conversations, communication skills, and highlighting the formal aspects that are potentially involved. We use case vignettes to better illustrate the application of ACP in clinical practice.

Keywords:   advance care planning, mental capacity, advance decision to refuse treatment, best interests, communication, advance statements, lasting power of attorney, autonomy

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