scholarly journals Corrigendum to ‘Initiating advance care planning on end-of-life issues in dementia: Ambiguity among UK and Dutch physicians’ [Archives of Gerontology and Geriatrics 65 (2016) 225–230/AGG 3314]

2021 ◽  
Vol 95 ◽  
pp. 104382
Author(s):  
Jenny T. van der Steen ◽  
Karen Galway ◽  
Gillian Carter ◽  
Kevin Brazil
Keyword(s):  
End Of Life ◽  
Advance Care Planning ◽  
Care Planning ◽  
Life Issues ◽  
Advance Care ◽  
End Of Life Issues

Advance Care Planning and End of Life Decision Making

2016 ◽  
Author(s):  
Lauren Jodi Van Scoy ◽  
Michael Green ◽  
Benjamin Levi
Keyword(s):  
End Of Life ◽  
Advance Directives ◽  
Advance Care Planning ◽  
Stages Of Change ◽  
Public Engagement ◽  
Care Planning ◽  
Institute Of Medicine ◽  
Life Issues ◽  
Advance Care ◽  
End Of Life Issues

Advance care planning (ACP) is defined by the Institute of Medicine as an iterative process that involves discussing end-of-life issues, clarifying relevant values and goals of care, and embodying preferences through written documents and medical orders. ACP is predicated on the principle of respect for autonomy, which recognizes an individual’s right to accept or decline medical therapies. With the development of medical technologies that can sustain life (including mere physiologic existence), effective ACP has become a critical yet underused process for patients, their families, and clinicians. This review discusses the emergence of ACP, promises and pitfalls of advance directives, and promising approaches, including ACP interventions and research, as well as a focus on public engagement and future directions. Figures show a timeline of important advances in ACP since 1990, key features of the comprehensive ACP process, the three core aspects or pillars for implementation of ACP, stages of change for ACP behaviors, and two commercially available end-of-life games. Tables list theoretical pros and cons of advance directives, ACP resources, examples of recent research studies on ACP interventions, types and examples of ACP resources, and public engagement campaigns.   This review contains 5 highly rendered figures, 5 tables, and 100 references.

Engaging death: Narrative and constructed dialogue in Advance Care Planning discussions

2015 ◽  
Vol 11 (2) ◽  
pp. 153-165 ◽  
Author(s):  
Gabriella Modan ◽  
Seuli Bose Brill
Keyword(s):  
End Of Life ◽  
Advance Care Planning ◽  
Healthcare Providers ◽  
Cultural Barriers ◽  
Care Planning ◽  
Constructed Dialogue ◽  
Life Issues ◽  
Advance Care ◽  
End Of Life Issues ◽  
Death Narrative

Advance Care Planning (ACP) remains extremely low in the US, due to numerous institutional and cultural barriers and discomfort in discussing death. There is a need for guidance about how patient and healthcare providers can effectively engage in ACP discussion. Here we analyze the linguistic strategies that focus-group participants use when discussing ACP in detailed ways. Prevalent linguistic structures in effective ACP discussions were loved ones’ end-of-life narratives, hypothetical narratives, and constructed dialogue. In elucidating spontaneous, unprompted approaches to effective discussion of end-of-life issues, such research can help to dislodge communicative barriers to ACP so that more people are prepared to engage the process.

Advance Care Planning and End-of-Life Issues in Head and Neck Cancer

2018 ◽  
Vol 34 (1) ◽  
pp. 18-20 ◽  
Author(s):  
Frank E. Mott ◽  
Kelly C. Adams
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
End Of Life ◽  
Advance Care Planning ◽  
Neck Cancer ◽  
Care Planning ◽  
Life Issues ◽  
Advance Care ◽  
End Of Life Issues

Advance Care Planning and End of Life discussions are critical in all cancers but are often overlooked or delayed. Head and Neck Cancer patients have the added stigma of visible morbidity and negative quality of life issues. We present a case example and discussion of these issues in the Head and Neck cancer clinic.

Advance Care Planning and End of Life Decision Making

2016 ◽  
Author(s):  
Lauren Jodi Van Scoy ◽  
Michael Green ◽  
Benjamin Levi
Keyword(s):  
End Of Life ◽  
Advance Directives ◽  
Advance Care Planning ◽  
Stages Of Change ◽  
Public Engagement ◽  
Care Planning ◽  
Institute Of Medicine ◽  
Life Issues ◽  
Advance Care ◽  
End Of Life Issues

Advance care planning (ACP) is defined by the Institute of Medicine as an iterative process that involves discussing end-of-life issues, clarifying relevant values and goals of care, and embodying preferences through written documents and medical orders. ACP is predicated on the principle of respect for autonomy, which recognizes an individual’s right to accept or decline medical therapies. With the development of medical technologies that can sustain life (including mere physiologic existence), effective ACP has become a critical yet underused process for patients, their families, and clinicians. This review discusses the emergence of ACP, promises and pitfalls of advance directives, and promising approaches, including ACP interventions and research, as well as a focus on public engagement and future directions. Figures show a timeline of important advances in ACP since 1990, key features of the comprehensive ACP process, the three core aspects or pillars for implementation of ACP, stages of change for ACP behaviors, and two commercially available end-of-life games. Tables list theoretical pros and cons of advance directives, ACP resources, examples of recent research studies on ACP interventions, types and examples of ACP resources, and public engagement campaigns.   This review contains 5 highly rendered figures, 5 tables, and 100 references.

Talking about sensitive topics during the advance care planning discussion: A peek into the black box

2015 ◽  
Vol 13 (6) ◽  
pp. 1669-1676 ◽  
Author(s):  
Pernille Andreassen ◽  
Mette Asbjørn Neergaard ◽  
Trine Brogaard ◽  
Marianne Hjorth Skorstengaard ◽  
Anders Bonde Jensen
Keyword(s):  
End Of Life ◽  
Advance Care Planning ◽  
End Of Life Care ◽  
Special Focus ◽  
Care Planning ◽  
Life Care ◽  
Sensitive Topics ◽  
Life Issues ◽  
Advance Care ◽  
End Of Life Issues

AbstractObjective:Advance care planning (ACP) discussions are emphasized as a valuable way of improving communication about end-of-life care. Yet we have very little knowledge of what goes on during actual ACP discussions. The aim of our study was to explore how the sensitive topics of end-of-life decisions are addressed in concrete ACP discussions, with special focus on doctor–patient interactions.Method:Following a discourse-analysis approach, the study uses the concept of doctor and patient “voices” to analyze 10 directly observed and audiotaped ACP discussions among patients, relatives, and a physician, carried out in connection with a pilot study conducted in Denmark.Results:Previous studies of directly observed patient–physician discussions about end-of-life care show largely ineffective communication, where end-of-life issues are toned down by healthcare professionals, who also tend to dominate the discussions. In contrast, the observed ACP discussions in our study were successful in terms of addressing such sensitive issues as resuscitation and life-prolonging treatment. Our analysis shows that patients and relatives were encouraged to take the stage, to reflect, and to make informed choices. Patients actively explored different topics and asked questions about their current situation, but some also challenged the concept of ACP, especially the thought of being able to take control of end-of-life issues in advance.Significance of Results:Our analysis indicates that during discussions about sensitive end-of-life issues the healthcare professional will be able to pose and explore sensitive ACP questions in a straightforward manner, if the voices that express empathy and seek to empower the patient in different ways are emphasized.

Advance Care Planning

2018 ◽  
Author(s):  
Lauren Jodi Van Scoy ◽  
Michael Green ◽  
Benjamin Levi
Keyword(s):  
End Of Life ◽  
Advance Directives ◽  
Advance Care Planning ◽  
Stages Of Change ◽  
Public Engagement ◽  
Care Planning ◽  
Institute Of Medicine ◽  
Life Issues ◽  
Advance Care ◽  
End Of Life Issues

Advance care planning (ACP) is defined by the Institute of Medicine as an iterative process that involves discussing end-of-life issues, clarifying relevant values and goals of care, and embodying preferences through written documents and medical orders. ACP is predicated on the principle of respect for autonomy, which recognizes an individual’s right to accept or decline medical therapies. With the development of medical technologies that can sustain life (including mere physiologic existence), effective ACP has become a critical yet underused process for patients, their families, and clinicians. This review discusses the emergence of ACP, promises and pitfalls of advance directives, and promising approaches, including ACP interventions and research, as well as a focus on public engagement and future directions. Figures show a timeline of important advances in ACP since 1990, key features of the comprehensive ACP process, the three core aspects or pillars for implementation of ACP, stages of change for ACP behaviors, and two commercially available end-of-life games. Tables list theoretical pros and cons of advance directives, ACP resources, examples of recent research studies on ACP interventions, types and examples of ACP resources, and public engagement campaigns.   This review contains 5 highly rendered figures, 5 tables, and 100 references.

Sign in / Sign up

Export Citation Format

Share Document