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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 discussions in Australia: the development of clinical practice guidelines

Advance Care Planning discussions in Australia: the development of clinical practice guidelines

Chapter:
(p.233) Chapter 21 Advance Care Planning discussions in Australia: the development of clinical practice guidelines
Source:
Advance Care Planning in End of Life Care
Author(s):

Josephine M Clayton

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199561636.003.0021

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.

Keywords:   Advance Care Planning, PREPARED framework, death, proxy decision-makers, dying

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