Published on March 21, 2014
Palliative and end of life care Sarah Gillham, Anita Hayes, Catherine Millington-Sanders, Bee Wee
Objectives • To support understanding of the individual’s perspectives on good end of life care • To clarify the principles of advance care planning • To give a practical overview of how to implement effective coordination
Advance care planning • A process of discussion • To communicate views, preferences and wishes • In anticipation of a time when cannot communicate these
Advance care planning • Advantages of ACP – Knowing what individuals would want – more likely to achieve that they want – Being able to plan for wishes and preferences – Being more confident about the person’s wishes – Opening up a dialogue
Bear traps in ACP • Not one-off • Not one-way • If have capacity, current decisions always trump ACP • Expectations about what is possible • Need to help family accept the person’s ACP wishes if not previously discussed • Balance between keeping current and ‘badgering’ the person • Level of ‘informed’ decision-making
Legal aspects • Advance decisions to refuse treatment • Lasting Power of Attorney
Resources • Learning how to facilitate ACP: – e-ELCA sessions: http://www.e-lfh.org.uk/programmes/end-of-life-care/
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