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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Case Discussions in Advanced Care Planning.

Regine Krechowicz1, Melini Gupta1, Valerie Gratton1,2

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|August 14, 2020
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Advanced care planning (ACP) improves end-of-life care by documenting patient values. A palliative care-led clinic model demonstrated a shift from aggressive treatment to peaceful home-based palliative care.

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Area of Science:

  • Geriatrics
  • Palliative Care
  • Health Services Research

Background:

  • Advanced care planning (ACP) enables individuals to articulate and record healthcare preferences before critical events.
  • This manuscript examines the benefits of ACP and contrasts two prevalent models.

Observation:

  • A case study featuring an elderly, frail patient with end-stage COPD and high healthcare utilization is presented.
  • A novel palliative care-led outpatient ACP clinic model is detailed using this patient's scenario.

Findings:

  • Implementing the ACP clinic model significantly altered the patient's end-of-life experience.
  • Patient and family discussions facilitated a transition from aggressive inpatient resuscitation to home-based palliative care.

Implications:

  • ACP is crucial for maintaining patient quality of life and ensuring care aligns with personal values.
  • Utilizing ACP models can enhance patient and family satisfaction while reducing distress during medical crises.