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Updated: Sep 18, 2025

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Advance care planning.

Lucy Robinson1, Professor Paul Paes2

  • 1Northumbria Healthcare NHS Trust and Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, Tyne and Wear, United Kingdom.

Clinical Medicine (London, England)
|June 24, 2025
PubMed
Summary
This summary is machine-generated.

Advance care planning (ACP) helps individuals prepare for serious illness and potential loss of decision-making capacity. It emphasizes conversations about personal values and needs, improving relationships and ensuring care aligns with identity.

Keywords:
Advance care planningPalliative carePatient preferences

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Area of Science:

  • Gerontology
  • Palliative Care
  • Health Services Research

Background:

  • Increasing prevalence of long-term conditions, multimorbidity, and frailty necessitates proactive health and care planning.
  • Advance care planning (ACP) is crucial for anticipating future health challenges and empowering patients and caregivers in self-management.
  • ACP aligns with a care philosophy focused on future needs and patient autonomy.

Purpose of the Study:

  • To explore the role and utility of advance care planning in contemporary healthcare.
  • To highlight how ACP facilitates discussions about patient values and identity preservation.
  • To examine the impact of ACP on patient-caregiver and patient-professional relationships.

Main Methods:

  • The study synthesizes current understanding and literature on advance care planning.
  • It focuses on the qualitative aspects of ACP, emphasizing communication and shared understanding.
  • Analysis centers on the effectiveness of ACP in preserving patient identity and values.

Main Results:

  • ACP's primary benefit lies in fostering meaningful conversations about deeply held values and personal identity.
  • The process enhances relationships between patients, family caregivers, and healthcare professionals.
  • Shared understanding and collective decision-making are improved through ACP.

Conclusions:

  • Advance care planning is most effective when it prioritizes preserving patient identity and values.
  • Focusing on communication and shared understanding within ACP is more beneficial than solely concentrating on documentation.
  • ACP supports person-centered care by ensuring individuals are cared for in alignment with their wishes and sense of self.