advance care planning
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Introduction
A process for identifying & communicating a patient's preferences for health care in the future, in the event that the patient becomes unable to make health care decisions for himself/herself.
Caveats:
- may be done outside of health care setting
- may be done by anyone with decision-making capacity
- may or may not involve health care professionals directly
- may or may not result in a written advance directive
Procedure
- establish an understanding of what makes life meaningful to patient "what brings you happiness?"
- explore what medical treatments might help meet patient goals[3]
Notes
- does not improve quality of life[1]
- does not affect use of medical care
- does increase completion of advance directives & appointment of surrogate decision-makers[1]
- interactive online advance care planning program called PREPARE[2]
- written at a fifth-grade level
- includes videos that address choosing a medical decision maker & preferences for life-sustaining treatment
Additional terms
References
- ↑ 1.0 1.1 1.2 Overbeek A, Korfage IJ, Jabbarian LJ et al Advance Care Planning in Frail Older Adults: A Cluster Randomized Controlled Trial. J Am Ger Soc. ePub: April 2, 2018 PMID: https://www.ncbi.nlm.nih.gov/pubmed/29608789 https://onlinelibrary.wiley.com/doi/full/10.1111/jgs.15333
- ↑ 2.0 2.1 Freytag J, Street RL Jr, Barnes DE et al. Empowering older adults to discuss advance care planning during clinical visits: The PREPARE randomized trial. J Am Geriatr Soc 2020 Jun; 68:1210. PMID: https://www.ncbi.nlm.nih.gov/pubmed/32157684 https://onlinelibrary.wiley.com/doi/abs/10.1111/jgs.16405
- ↑ 3.0 3.1 Geriatric Review Syllabus, 11th edition (GRS11) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2022
- ↑ Bravo G, Sene M, Arcand M, et al. Effects of advance care planning on confidence in surrogates' ability to make healthcare decisions consistent with older adults' wishes: Findings from a randomized controlled trial. Patient Educ Couns. 2018;101(7):1256-1261 PMID: https://www.ncbi.nlm.nih.gov/pubmed/29452728 https://www.sciencedirect.com/science/article/abs/pii/S0738399118300521
- ↑ Centers for Medicare & Medicaid Services. Advanced Care Planning MLN Fact Sheet. August 2019. https://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnproducts/downloads/advancecareplanning.pdf
- ↑ VHA Handbook 1004.02 Veterans Administration