'Documenting Residents Wishes' (DCN1)

Oct 30th 09 Communication for end-of-life care and palliative care ST/AON

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Documenting Residents’ Wishes

N

Advance Care Planning

Voluntary discussion over time about future care

Anticipated deterioration of condition in the future

Anticipating loss of capacity to communicate

choices


What might be included in ACP

discussions include

Concerns and wishes

Values and personal goals for care

Understanding about his/her illness/prognosis

Preferences and wishes for types of

treatment/interventions and place of care


Why is it important?

Research has found that end of life care decisions

made too close to death cause unnecessary stress for

both patient and families (C.Grbich et al., 2006)

Lack of discussion can lead to decisions made in crisis

e.g. unnecessary hospital admissions, lack of

necessary support being available, family wanting

‘everything’ done because they haven’t had time to

process.

We need to know ‘what matters most’ to each

individual

Does our documentation support

discussion?

• What do we need to know?

• When do we need to know it?

• How do we ask?


'Documenting Residents Wishes' (DCN1)

Healthcare

Transcript of 'Documenting Residents Wishes' (DCN1)