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[Advance Care Planning in Cancer Care]
Yoshiyuki Kizawa1, Takashi Yamaguchi, Nobuyuki Yotani
1Dept. of Palliative and Supportive Care, Kobe University Graduate School of Medicine.
Abstract:
Advance care planning (ACP) is one of the most important issues to consider in providing quality end of life care for cancer patients. ACP has been described as a process whereby a patient, in consultation with health care providers, family members, and important others, makes decisions about his or her future health care, in the event he or she becomes incapable of participating in medical treatment decisions. ACP improves rates of following end of life wishes, increases patient and family satisfaction, and reduces family stress, anxiety, and depression. This article clarifies the differences among ACP, advance directives, and living wills. Additionally, we describe, based on clinical experience, how to introduce ACP most effectively for all stages of cancer care.
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