Tailoring Advance Care Planning Interventions with Patient Activation (S774)

Advance care planning and the older patient.

Making treatment decisions for older people is difficult, because of the complex interplay of their multiple co-morbidities, but also because of the fine balance of risks vs. benefit in any chosen management plan. This becomes even more difficult when they lose the capacity to tell us what they want, and often in such situations we have to rely on information from others in order to make decisi...

Strategic targeting of advance care planning interventions: the Goldilocks phenomenon.

Strategically selecting patients for discussions and documentation about limiting life-sustaining treatments-choosing the right time along the end-of-life trajectory for such an intervention and identifying patients at high risk of facing end-of-life decisions-can have a profound impact on the value of advance care planning (ACP) efforts. Timing is important because the completion of an advance...

Advance care planning discussions with geriatric patients.

BACKGROUND Advance care planning discussions are conversations with patients about future treatment to ensure that the patients' wishes are known if their decision-making capacity fails. Many doctors fear that such conversations represent a strain on patients. We wished to test systematic advance care planning discussions on an acute geriatric ward and to investigate how patients felt about suc...

Advance care planning in primary care.

Advance care planning uptake among patients with severe lung disease: a randomised patient preference trial of a nurse-led, facilitated advance care planning intervention

OBJECTIVE Advance care planning (ACP) clarifies goals for future care if a patient becomes unable to communicate their own preferences. However, ACP uptake is low, with discussions often occurring late. This study assessed whether a systematic nurse-led ACP intervention increases ACP in patients with advanced respiratory disease. DESIGN A multicentre open-label randomised controlled trial wit...