Department of EthicsPlanning for the end of life
Section snippets
What should be the goal of advance care planning?
The original goal of the movement for advance care planning—from the perspective of ethicists and legal scholars—was to assist patients to make treatment decisions for the event of incapacity. However, from the patient's perspective, the primary goal of advance care planning is more commonly preparing for death and dying.12 People struggle to find ways to cope with death.2 Once a central ritual of social and religious life, death has been privatised, desacralised, hidden behind institutional
What should be the role of the AD form?
Advance care planning has commonly been conceptualised as an event, specifically making a set of decision, and AD forms were developed to document these decisions. However, an AD form is not the central or defining feature of advance care planning. Advance care planning is a process of communication, and AD forms are best viewed as an assisting device embedded in the advance care planning process.8, 11, 12 In an intervention designed to increase completion of AD forms among outpatients, 38% of
Which AD form is best for the patient?
Numerous AD forms have been developed by organisations, governments, and academics. Many of the forms we refer to in this paper may be accessed full-text on the internet (panel). Each form is different in important ways, but currently no detailed taxonomy of ADs exists. This taxonomy will be developed through the examination of four questions that a physician or other involved party might ask about them. Should it be an instruction or proxy directive? Should it be a detailed or non-detailed
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2016, Atencion PrimariaRelationship between implementation of systematic advance care planning and the quality of death among nursing home residents: a survey
2024, Palliative Care and Social PracticeChanges in care managers’ positive attitudes toward dying patients compared to that of nurses by one-day online advance care planning communication training
2024, Palliative Care and Social PracticeOpinion of young Poles on futile therapy based on a survey among university students
2023, Research Square
P A Singer is supported by a Canadian Institutes of Health Research Investigator award.