Advance Care Planning: is quality end of life care really that simple?

08:00 EDT 1st April 2017 | BioPortfolio

Summary of "Advance Care Planning: is quality end of life care really that simple?"

The routine implementation of Advance Care Planning (ACP) is now a prominent feature of policy directed at improving end of life care in Australia. However, while complex ACP interventions may modestly reduce medical care at the end of life and enable more people to die at home or outside of acute hospital settings, existing legal, organisational, cultural and conceptual barriers limit the implementation and utility of ACP. We suggest that meaningful improvements in end of life care will not result from the institutionalisation of ACP but from more significant changes to the design and delivery of care.


Journal Details

This article was published in the following journal.

Name: Internal medicine journal
ISSN: 1445-5994
Pages: 390-394


DeepDyve research library

PubMed Articles [23981 Associated PubMed Articles listed on BioPortfolio]

A Contemporary Paradigm: Integrating Spirituality in Advance Care Planning.

In the 25 years since advance care planning first drew the attention of the national healthcare and legal systems, gains in the rate of advance care directive completion have been negligible despite ...

Impact of advance care planning on end-of-life management.

The aim of this review is to critically appraise the recent evidence on different aspects of impact of advance care planning (ACP) in palliative care and to reflect on further implications on practice...

Interactions with the healthcare system influence advance care planning activities: results from a representative survey in 11 developed countries.

To identify factors associated with completion of Advance Care Planning (ACP) by patients seen in primary care in developed countries. We hypothesized that the quality of primary care is associated.

Individualised advance care planning in children with life-limiting conditions.

In 2013, the Pediatric Association of the Netherlands launched an evidence-based guideline 'Palliative care for children'. To promote implementation in daily practice and hereby improve quality of pae...

What do patients with cancer and their families value most at the end of life? A critical analysis of advance care planning.

Advance care planning (ACP) is defined in a variety of ways, although it is widely understood as a process undertaken by patients, when they have capacity, to define and communicate their treatment pr...

Clinical Trials [17478 Associated Clinical Trials listed on BioPortfolio]

The "Hand-in-Hand Study": Improvement of Quality of Life in Palliative Cancer Patients Through Collaborative Advance Care Planning

This study evaluates the effect of a collaborative advance care planning intervention on the quality of life in palliative oncological patients. Research indicates, that talking about wish...

Advance Care Planning for Critical Care - A Prelude to Breaking Barriers

Advance Care Planning (ACP) is a process of 'reflection and communication, in which a person with decision-making capacity makes decisions regarding their future health and/or personal car...

Utilizing Advance Care Planning Videos to Empower Perioperative Cancer Patients and Families

Through close engagement with our patient and family member co-investigators, we have developed a video-based advance care planning aid for cancer patients and their family members who are...

RCT of Advance Care Planning in Primary Care

Sometimes people with health conditions become ill suddenly and can no longer speak for themselves and another person (such as a family member) will make health care decisions for them. Th...

Intervention to Promote Advance Care Planning for Older Adults in the Emergency Department

There is an urgent need to increase advance care planning among older adults in order to ensure that patients receive care of the end of life that is consistent with their values and prefe...

Medical and Biotech [MESH] Definitions

Discussions with patients and/or their representatives about the goals and desired direction of the patient's care, particularly end-of-life care, in the event that the patient is or becomes incompetent to make decisions.

Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.

A nursing specialty concerned with care of patients facing serious or life-threatening illnesses. The goal of palliative nursing is to prevent and relieve suffering, and to support the best possible quality of life for patients and their families. Hospice nursing is palliative care for people in their final stages of life.

Methods and techniques used in evaluating the quality of health care, its planning, and delivery.

The concept concerned with all aspects of the quality, accessibility, and appraisal of health care and health care delivery.

Quick Search


DeepDyve research library

Searches Linking to this Article