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Palliative care for older peopleA public health perspective$
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Lieve Van den Block, Gwenda Albers, Sandra Martins Pereira, Bregje Onwuteaka-Philipsen, Roeline Pasman, and Luc Deliens

Print publication date: 2015

Print ISBN-13: 9780198717614

Published to Oxford Scholarship Online: June 2015

DOI: 10.1093/acprof:oso/9780198717614.001.0001

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A programme for advance care planning for older people: Respecting Patient Choices

A programme for advance care planning for older people: Respecting Patient Choices

(p.265) Chapter 25 A programme for advance care planning for older people: Respecting Patient Choices
Palliative care for older people

William Silvester

Karen Detering

Oxford University Press

Advance care planning enables health professionals to know and respect the wishes of the elderly when they approach the end of their lives. Respecting Patient Choices, a successful Australian model of advance care planning, has been implemented in hospitals and the community, particularly aged care homes. It improves end-of-life care for the elderly and those with chronic disease, raises satisfaction amongst patients and family regarding the quality of care, and reduces the incidence of symptoms of anxiety, depression, and post-traumatic stress in the surviving relatives of those who have died. It works effectively with competent English-speaking people and also those from culturally and linguistically diverse backgrounds and with dementia. It can ensure that aged care home residents‘ preferences, in the event of deterioration, are known and complied with, and can diminish the risk that the resident, against his or her wishes, will be transferred to hospital to die.

Keywords:   advance care planning, respecting choices, end-of-life care, aged care home, preferences, wishes

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