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Radiation Planning Assistant - A Streamlined, Fully Automated Radiotherapy Treatment Planning System

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Advance Care Planning.

¹Geriatrics and Palliative Care Department, Washington DC Veteran Administration Medical Center, 50 Irving Street NW, Washington, DC, 20422, USA; Internal Medicine, George Washington University, Washington, DC, USA.

Clinics in Geriatric Medicine

|October 3, 2021

Summary

Advance care planning (ACP) rates are low, but the process is dynamic and should start early in adulthood. Standardization of ACP documents has improved recently, aiding in defining patient wishes for medical interventions.

Keywords:

Advance care planning End of life Life-sustaining treatments State-authorized portable documents Women’s health

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Area of Science:

Healthcare Management
Medical Ethics
Public Health

Background:

Advance care planning (ACP) is crucial for aligning medical treatment with patient values.
Current rates of ACP engagement in the general population are notably low.
ACP involves documenting healthcare preferences and appointing a healthcare proxy.

Purpose of the Study:

To highlight the importance of advance care planning (ACP) as a dynamic and evolving process.
To emphasize the need for early initiation and ongoing refinement of ACP.
To discuss the components and standardization of ACP documentation.

Main Methods:

Review of current literature and practices in advance care planning.
Analysis of the components and evolution of ACP documentation.
Discussion of the temporal aspects and scope of ACP.

Main Results:

Advance care planning (ACP) remains underutilized in the general population.
ACP is a progressive process, beginning broadly in early adulthood and becoming more specific over time.
ACP documents have shown increased standardization in recent years.

Conclusions:

Initiating ACP early and refining it throughout life is essential for effective healthcare decision-making.
Improved standardization of ACP documents supports clearer communication of patient wishes.
Strategies to increase ACP adoption are needed to improve end-of-life care alignment with patient values.