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Advance Care Planning in End of Life Care$
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Keri Thomas and Ben Lobo

Print publication date: 2010

Print ISBN-13: 9780199561636

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780199561636.001.0001

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Advance Care Planning in the community

Advance Care Planning in the community

Chapter:
(p.148) Chapter 13 Advance Care Planning in the community
Source:
Advance Care Planning in End of Life Care
Author(s):

Bruce Mason

Dierdra Sives

Scott A Murray

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199561636.003.0013

This chapter presents an overview of issues surrounding Advance Care Planning (ACP) in the community. It examines when should one start ACP in the community and which patients, when, and who should be involved. It looks at the barriers to ACP in the community and how to overcome them. It reviews outcomes and benefits for patients, carers, and practitioners; what are they and how can one measure them. The discussion holds ACP should be used in the community for patients with all progressive illnesses. ACP should be commenced as early as the patient wishes, but certain triggers are suggested. There are significant barriers to the widespread use of ACP in the community such as staff resistance, difficulty identifying the appropriate time, and time pressures. The greatest enabling factor in ACP is a pre-existing relationship between patient and health care professional.

Keywords:   Advance Care Planning, progressive illness, staff resistance, health care professional

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