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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 older people

Advance Care Planning for older people

Chapter:
(p.39) Chapter 4 Advance Care Planning for older people
Source:
Advance Care Planning in End of Life Care
Author(s):

Simon Conroy

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199561636.003.0004

This chapter holds that the oldest old are a rapidly growing section of society, in whom conditions affecting capacity are prevalent. Advance Care Planning (ACP) may be helpful in allowing frail older people to exert greater control over their care. Case managers are ideally placed to help initiate ACP, preferably in primary care in anticipation of future events which may impair capacity. Professionals involved in helping people draft Advance Care Plans should be aware of their own area of competence and ask for help when necessary. ACP may not be for everyone, but it is potentially a very useful tool for opening up discussions about difficult subjects. A sensitive approach, based on an established relationship, is more likely to be effective. For older people, case managers initiating discussions in primary care may be especially helpful in this regard.

Keywords:   Advance Care Planning, oldest old, case managers, care, primary care

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