Advance Care Planning with Your Patients
As health care technologies improve and people with many complex diseases live longer, advance care planning is becoming increasingly important.
You have an important role in ACP. Health care providers should encourage advance care planning not only by people who are facing a life-threatening condition or those who have a chronic disease, but also by people who are young and healthy. ACP conversations should be held, if at all possible, before a health care crisis occurs so that the person has time to consider his or her choices and talk with loved ones.
For health care providers, integrating advance care planning into routine clinical encounters enables them to help patients, families and substitute decision-makers to prepare for the kinds of decisions they may face in future. These conversations explore the patient's wishes and goals for treatment framed within the therapeutic options that are appropriate for their condition. Conversations are best started early in the patients course of care and treatment and whenever clinically relevant to the patient's care. These discussions should include the following:
By having these conversations with patients early on, many members of the health care team feel more comfortable providing care that they know is in accordance with the person's wishes. If everyone understands the person's wishes, there is less anguish associated with end-of-life decision-making, reducing the potential for conflict between the person's loved ones and the health care team and between members of the health care team. Advance care planning is a way of preventing problems in decision-making should a time occur when a person becomes incapable and may need to rely on others. An advance care plan strengthens the relationship between health care providers and the people for whom they care.
CCMB Resources and Tools for Oncology Professionals
FIFE framework - patient centred interviewing tool that can assist with shared decision making
CCMB Resources and Tools for Patients
Additional Resources and Tools for Health Care Professionals
Education in Palliative and End-of-Life Care for Oncology (EPECTM-O Canada)
Additional Tools and Resources for Patients
http://www.advancecareplanning.ca/ - learn about additional tools to help you build your advance care plan
http://www.wrha.mb.ca/acp/index.php - additional vides and tools that can help you plan ahead
http://www.virtualhospice.ca/ - information and support on palliative and end of life care
http://www.livingmyculture.ca/ - conversations on care, culture, and spirituality when living with serious illness