{"title":"Advance care planning and goals of care discussions","authors":"J. Myers, J. Simon","doi":"10.1093/oso/9780198837008.003.0001","DOIUrl":null,"url":null,"abstract":"Advance care planning (ACP) conversations and goals of care (GOC) discussions prepare patients and their substitute decision-makers for medical decision-making. When rooted in a patient’s values and person-centred in approach, ACP and GOC discussions can optimize the likelihood a person receives care that is concordant with their goals. This chapter explores the definitions and clinical processes for ACP and GOC discussions and describes how a patient’s values and goals can directly inform medical decision-making. Differences in ACP among healthy and seriously ill individuals, common communication challenges, and the pitfalls of a treatment-centred approach are described. The chapter underscores the importance of illness understanding and provides tips on addressing prognosis. Finally, healthcare system impacts of ACP and GOC are considered.","PeriodicalId":149820,"journal":{"name":"Palliative Medicine: A Case-Based Manual","volume":"27 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2021-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Palliative Medicine: A Case-Based Manual","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1093/oso/9780198837008.003.0001","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Advance care planning (ACP) conversations and goals of care (GOC) discussions prepare patients and their substitute decision-makers for medical decision-making. When rooted in a patient’s values and person-centred in approach, ACP and GOC discussions can optimize the likelihood a person receives care that is concordant with their goals. This chapter explores the definitions and clinical processes for ACP and GOC discussions and describes how a patient’s values and goals can directly inform medical decision-making. Differences in ACP among healthy and seriously ill individuals, common communication challenges, and the pitfalls of a treatment-centred approach are described. The chapter underscores the importance of illness understanding and provides tips on addressing prognosis. Finally, healthcare system impacts of ACP and GOC are considered.
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