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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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A common sense guide to improving Advance Care Planning: from theory to practice

A common sense guide to improving Advance Care Planning: from theory to practice

Chapter:
(p.205) Chapter 18 A common sense guide to improving Advance Care Planning: from theory to practice
Source:
Advance Care Planning in End of Life Care
Author(s):

Anne M Wilkinson

Joanne Lynn

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199561636.003.0018

This chapter acts as a guide on implementing ACP practices in a local area, utilizing the Plan-Do-Study-Act (PDSA) Quality Improvement model, based on extensive experience from the USA and is adapted from the Common Sense Guide to Improving Palliative Care, Oxford University Press, 2007. It presents an introduction, definition of ACP and ‘doing’ ACP; the PDSA quality improvement process; the three fundamental questions and necessary steps to improvement; how to accelerate improvement and spread the gains; examples of ACP, changes to try and common barriers to ACP; frequently asked questions; and communication strategies to initiate and target ACP. The discussion notes that ensuring the centrality of the patient's and family's voices in treatment decision-making is one of the most important goals for achieving patient and family-centred late life care.

Keywords:   PDSA model, palliative care, Advance Care Planning, late life care, communication strategies

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