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Practice question

Practice question: how can I raise the subject of advance care planning?

How can I broach the subject of advance care planning with families, when the person with dementia lacks capacity and is near the end of life?

How can I broach the subject of advance care planning with families, when the person with dementia lacks capacity and is near the end of life?

Advance care planning (ACP) is a structured discussion about a person’s wishes and thoughts for the future, and is recognised as a key part of good care at the end of life (Department of Health 2008, Royal College of Physicians et al 2009, General Medical Council 2010).

A national framework for local action (National Palliative and End of Life Care Partnership 2015) highlighted the importance of honest and sensitive conversations about dying to promote and encourage better end of life care planning.

People with advancing dementia may have significant co-morbidities and life-limiting symptoms but may not have an advance care plan in place. This presents challenges for staff and families in making end of life

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