What is Advance Care Planning?. Advance care planning “A process of discussion between an individual and their care providers irrespective of discipline.

What is Advance Care Planning?

Advance care planning“A process of discussion between an

individualand their care providers irrespective of discipline. Family and friends may be

included if the individual wishes”

Discussions should be documented regularly reviewed communicated to key persons in their

care

ACP: A Guide for Health and Social Care Staff

Goals of ACP

provide clinical care in keeping with patient preferences and values when decision making capacity has been lost

improve decision making processes improve patient well being by

reducing frequency of under and over treatment

What might ACP include?

Concerns Personal goals for care Important values to the individual Understanding about illness and

prognosis Preferences for types of treatment

(health and social)

Usually takes place in the context of anticipated deterioration in the future

with attendant loss of capacity

Advance care planningVoluntary processIndividualisedMay include advance statementsMay include ADRTMay include preferred place of careMethod of recording needs agreementSharing of information needs agreementNeeds capacityNeeds education and trainingNeeds more research

Advance Statement (statement of wishes or preferences)

A summary of written and oral expressions where people can talk generally about future care, wishes and preferences.

Not legally binding. Medical and non-medical matters can

be covered.

Advance decision (Advance Directive, Living Will, Advance Refusal of

Treatment)

Only applies to the refusal of specific treatment

Adult over 18 yearsMade at a time of mental capacityInformed decision, uninfluencedApplies to the situation that later arises at a

time when capacity is lostLegally bindingNeeds continuing discussion and review

ACP is an ongoing and evolving process

People change their minds and their plans

It is not right for everyone

Might it be different?!?!