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Could life story work support relational autonomy in advance care planning? : stories from the EARLI project

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KARUSOO-MUSUMECI, Ava | YEOH, Ling | EDWARDS, Caroline | WALTON, Rebecca | CRABTREE, Melanie | HILGEMAN, Michelle M. | SINCLAIR, Craig

OBJECTIVES: Advance care planning has evolved from a narrow focus on advance directives completion towards a greater emphasis on ongoing conversations and value clarification. This evolution aligns with a relational perspective on autonomy in a social context. However, limited research explores how relational autonomy might be operationalised in practice. Life story work is a novel approach that may serve to operationalise relational autonomy in advance care planning. METHODS: This paper presents three vignettes from the Enhanced Advance Care Planning and Life Review Longitudinal Intervention (EARLI) project, an arts-based intervention that uses life story work to support advance care planning among older adults living in the community. RESULTS: The vignettes illustrated how life story work facilitated discussions about values and preferences, enhanced relational autonomy and influenced participants' engagement with advance care planning across different stages. CONCLUSIONS: Integrating life story work into advance care planning provides a practical approach to fostering relational autonomy. This method offers insight into the ways personal narratives can shape decision-making and communication within the advance care planning process.

http://dx.doi.org/10.1111/ajag.70042

Voir la revue «Australasian journal on ageing, 44»

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