TY - JOUR
T1 - Advance care planning
AU - Emanuel, L. L.
AU - Von Gunten, C. F.
AU - Ferris, F. D.
PY - 2000/1/1
Y1 - 2000/1/1
N2 - Advance care planning is the process of planning for future medical care, particularly for the event when the patient is unable to make his or her own decisions. It should be a routine part of standard medical care and, when possible, conducted with the proxy decision maker present. It is helpful to think of the process as a stepwise approach. The steps include the appropriate introduction of the topic, structured discussions covering potential scenarios, documentation of preferences, periodic review and update of the directives, and application of the wishes when needed. The steps can be integrated flexibly into routine clinical encounters by the physician and other members of the health care team. The process fosters personal resolution for the patient, preparedness for the proxy, and effective teamwork for the professionals. The process also has pitfalls of which to be aware.
AB - Advance care planning is the process of planning for future medical care, particularly for the event when the patient is unable to make his or her own decisions. It should be a routine part of standard medical care and, when possible, conducted with the proxy decision maker present. It is helpful to think of the process as a stepwise approach. The steps include the appropriate introduction of the topic, structured discussions covering potential scenarios, documentation of preferences, periodic review and update of the directives, and application of the wishes when needed. The steps can be integrated flexibly into routine clinical encounters by the physician and other members of the health care team. The process fosters personal resolution for the patient, preparedness for the proxy, and effective teamwork for the professionals. The process also has pitfalls of which to be aware.
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U2 - 10.1001/archfami.9.10.1181
DO - 10.1001/archfami.9.10.1181
M3 - Review article
C2 - 11115227
AN - SCOPUS:0034538671
SN - 1063-3987
VL - 9
SP - 1181
EP - 1187
JO - Archives of family medicine
JF - Archives of family medicine
IS - 10
ER -