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Advance care planning: what do patients want?
1Junior Clinical Fellow, Department of Elderly Medicine, Barnet Hospital, Royal Free London NHS Foundation Trust, Barnet EN5 3DJ.
Summary
Advance care planning conversations improve quality of life. Patients desire open, honest discussions with healthcare professionals about their healthcare wishes to ensure informed decisions.
Area of Science:
- Gerontology
- Bioethics
- Health Services Research
Background:
- Advance care planning (ACP) involves patients making future healthcare decisions.
- ACP improves quality of life and reduces institutionalization.
- Understanding patient preferences in ACP is crucial.
Purpose of the Study:
- To explore patient preferences and wishes regarding advance care planning.
- To identify factors influencing patient involvement in healthcare decision-making.
Main Methods:
- Systematic literature search of CINAHL, Medline, Embase, and Pubmed.
- Keywords included 'elderly', 'advance care planning', 'advance directive', 'views', and 'opinions'.
- Screening of 64 abstracts and full-text review of 20 articles, with 11 included in the final analysis.
Main Results:
- Individual and cultural differences impact desired levels of decision-making.
- Trained healthcare professionals should conduct ACP conversations opportunistically.
- Patients highly value honest and open communication for informed decision-making.
Conclusions:
- Establish the desired level of shared decision-making for each individual.
- Initiate open and honest ACP conversations at the earliest opportunity.
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