Advance Care Planning discussions in Australia: the development of clinical practice guidelines
This chapter discusses the background of Advance Care Planning discussions (ACP) from an Australian perspective; the Australian policy and development of national ACP guidelines in 2007; consensus recommendations for clinical practice, including timing of ACP discussions, and ways to open the discussion; suggested means to improve communication using the PREPARED framework; and dissemination of guidelines and next steps. It notes that discussions about death and dying are difficult and sensitive discussions about end of life issues are a very important aspect of care for patients with advanced life limiting illnesses. ACP discussions, including discussions about no CPR orders, should take place in the general context of a conversation about the person's values, goals etc. One should also consider the recommendations conveyed by the acronym PREPARED and involve key proxy decision-makers in ACP discussions.
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