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Advance care planning.

L L Emanuel¹, C F von Gunten, F D Ferris

¹Project to Educate Physicians on End of Life Care, Interdisciplinary Program in Professionalism and Human Rights, Northwestern University Medical School, 750 N Lake Shore Drive, Suite 601, Chicago, IL 60611, USA. info@epec.net

Archives of Family Medicine

|December 15, 2000

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Advance care planning ensures future medical decisions align with patient wishes when they cannot communicate. This structured process involves discussion, documentation, and review, benefiting patients, proxies, and healthcare teams.

Area of Science:

Medical Ethics
Healthcare Management
Patient Advocacy

Background:

Advance care planning (ACP) is crucial for respecting patient autonomy when decision-making capacity is lost.
Integrating ACP into routine care ensures patient preferences guide future medical treatment.
Current practices often lack a structured approach, leading to suboptimal outcomes.

Purpose of the Study:

To outline a stepwise approach for implementing advance care planning.
To emphasize the importance of involving proxy decision-makers in the ACP process.
To highlight the benefits and potential pitfalls of structured ACP.

Main Methods:

Described a five-step process: introduction, discussion, documentation, review, and application.
Advocated for flexible integration into routine clinical encounters.

Keywords:

Death and Euthanasia Professional Patient Relationship

Related Experiment Videos

Stressed the collaborative role of physicians and healthcare teams.

Main Results:

A structured, stepwise approach facilitates effective advance care planning.
ACP promotes patient resolution, proxy preparedness, and professional teamwork.
Identified potential challenges within the ACP process.

Conclusions:

Advance care planning should be a routine component of medical care.
A systematic, team-based approach enhances the effectiveness of ACP.
Awareness of potential pitfalls is essential for successful implementation.