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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 for the end of life: an overview

Advance Care Planning for the end of life: an overview

Chapter:
(p.16) Chapter 2 Advance Care Planning for the end of life: an overview
Source:
Advance Care Planning in End of Life Care
Author(s):

Jane Seymour

Gillian Horne

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199561636.003.0002

This chapter first provides brief introductions and an outline of development of ACP. Then, it surveys the evidence base, providing a selective summary of ACP research. Next, it presents a discussion of the social and cultural challenges with ACP and how ACP facilitates a process of shared decision making. It also cites practice and policy developments to promote ACP in England. ACP developed in the latter half of the twentieth century alongside concerns about the risks of futile and inappropriate use of life prolonging medical technologies. A new perspective has begun to emerge in which emphasis is placed less on leaving an instruction to guide medical care and more on the potential for ACP discussions to help patients and their families prepare for death, review their immediate goals and hopes for the future, and strengthen their relationships.

Keywords:   Advance Care Planning, England, medical technology, prolonging life, medical care, death

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