Practice question

Advance care plans

When should I consider holding an advance care planning discussion with a patient?
Advance care planning

When should I consider holding an advance care planning discussion with a patient?

Advance care plans (ACPs) are part of ‘a process of discussion between an individual and their care providers irrespective of discipline’ (Henry and Seymour 2008).

Several UK policy documents state that ACPs are necessary in improving end of life care (Department of Health, Social Services and Public Safety 2010, Scottish Government 2011, Welsh Government 2013, NHS England 2014).

Encourage and empower

The Nursing and Midwifery Council (NMC) (2015) Code states that nurses must: ‘Encourage and empower people to share decisions about their treatment and care’, and must ‘respect the level to which people receiving care want to be involved in decisions about their health, wellbeing and care.’

These statements suggest that devising ACPs could be

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