Advance Care Planning in Canada: past experience and current strategies
This chapter presents an overview, introduction, and definition of ACP; the Canadian landscape and current legislation; and professional recognition for ACP/directives. It also reviews professional education, public awareness and education, other national activities, and adaptations and specialized ACP. Canada's multiple jurisdictions with differing health care services and laws create an extra layer of challenge in creating portable Advance Care Plans, and in educating Canadians about them. Professional education initiatives have led to the inclusion of end of life care competencies into the medical school curriculum and licensing and certification exams, as well as to the creation of resources for the education of currently practicing professionals. Public awareness has been growing from the grass-roots level up to the national level, with a new national awareness strategy planned for within the next few years. Growing recognition of specialized Advance Care Plans has led to adaptations for cultural groups, specific diseases, and paediatrics.
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