The care planning umbrella : the evolution of advance care planning

Article indépendant

HICKMAN, Susan E. | HUM, Hillary D. | WALLING, Anne M. | SAVOY, April | SUDORE, Rebecca L.

Advance care planning (ACP) was initially narrowly defined as documentation of life-sustaining treatment (LST). One initial goal was to curb unwanted LSTs and costs.1 Yet, a focus solely on legal documentation of LST preferences has resulted in mixed data on goal-concordant care and healthcare utilization.2-4 Fortunately, the conceptualization of ACP continues to evolve, and is now widely recognized as a process of preparing patients (people) and surrogate decision-makers for communication and medical decision-making.5, 6 This process involves a complex array of patient, surrogate, and clinician behaviors, health systems workflows, interventions, communities, and policy. [Début de l'article]

https://doi.org/10.1111/jgs.18287

Voir la revue «Journal of the American Geriatrics Society, 71»

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