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Advance care planning in long-term care facilities
Michael D Cantor1, Robert A Pearlman
1Geriatric Research, Education, and Clinical Center (182) Veterans Affairs Boston Health Care System-Jamaica Plain Campus, Jamaica Plain, Massachusetts 02130, USA. Michael.cantor@med.va.gov
Journal of the American Medical Directors Association
|February 27, 2004
Summary
Advance care planning (ACP) empowers long-term care residents to make and communicate treatment choices. This review details ACP
Area of Science:
- Gerontology and Palliative Care
- Healthcare Decision-Making
Background:
- Long-term care residents face significant health risks and communication challenges during critical treatment decisions.
- Advance care planning (ACP) is crucial for ensuring resident autonomy when they cannot express their treatment preferences.
Purpose of the Study:
- To review the essential components of advance care planning (ACP) in long-term care settings.
- To examine the literature on effective ACP programs within long-term care facilities.
- To provide practical guidance for implementing successful ACP initiatives.
Main Methods:
- Review of the three core steps of advance care planning: consideration of values, decision communication, and choice documentation.
- Synthesis of existing literature on ACP programs specifically within long-term care environments.
Main Results:
- Advance care planning (ACP) involves considering options, expressing values, communicating decisions, and documenting choices.
- Literature highlights the significant value and successful implementation of ACP in long-term care facilities.
Conclusions:
- Advance care planning (ACP) is vital for protecting the autonomy of long-term care residents.
- Practical strategies are essential for developing and implementing effective ACP programs in these facilities.
Keywords:
Health Care and Public Health