What Are the Advantages of Advance Care Planning?
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Advance care planning is particularly important for people who are older and are frail, or people who have a chronic illness, multiple diseases, an early cognitive impairment, or are approaching their end of life.
For that reason, the designation of a surrogate decision-maker is especially important; surrogate decision-makers can provide guidance to medical teams in cases where patients are incapacitated and the LW does not apply. Asking a patient to consider their goals, values, and beliefs, and how these may influence their future medical decisions, is helpful and may be a good place to start the conversation. Although the provider who engages in this discussion with the patient regarding ACP need not be a clinician, ideally it should be a health care provider who is able to work in collaboration with the medical team and who can provide information about prognosis and outline the medical options and their benefits and risks . Additionally, the process need not occur with a single visit or a single provider but can occur across multiple visits and providers who coordinate the patient’s care.
Increasing numbers of people will die with (or from) dementia. Estimates from the UK Medical Research Council–Cognitive Function and Ageing Studies (MRC–CFAS), a large multicentre research programme examining the health and cognitive function of 13,000 older people, suggest that people who died between the ages of 65 and 69 years had a 6% risk of dying with or from dementia, rising to a 58% risk in those over 95 years. This means that, in the United Kingdom, one in three people over the age of 65 will die with or from dementia (Harrison Dening K, King M, 2016).
Moreover, barriers and facilitators related to Carla’s case study and advance care planning helped to implement effective client-centred care.
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