Disease-Specific Advance Care Planning Interventions for Older Adults

  • Deborah G. Freeland
  • David Shih WuEmail author
Palliative Care (D Wu, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Palliative Care


Purpose of Review

Advance care planning is beneficial but underutilized for older patients with dementia, cancer, end-stage renal disease, lung disease, or heart failure. The purpose of this paper is to highlight recent disease-specific innovations aimed at improving the delivery of advance care planning for older adults.

Recent Findings

We highlight 13 studies within the last 5 years focusing on advance care planning models in older adults with the above diseases.


Useful interventions include incorporation of non-physician facilitators, varying platforms of ACP delivery, surrogate participation, and written communication of patient preferences to other providers. Several existing models were applicable across disease types. Further research comparing advance care planning models in older adults is warranted.


Advance care planning Advance directive Older adult Communication Patient-centered Shared decision-making 


Funding Information

Dr. Wu is supported through the Hearst American Academy of Hospice and Palliative Medicine Leadership Scholars Fund.

Compliance with Ethical Standards

Conflict of Interest

Deborah Freeland and David Shih Wu declare no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Division of General Internal Medicine, Johns Hopkins Bayview Medical CenterJohns Hopkins University School of MedicineBaltimoreUSA
  2. 2.Palliative Care Program, Division of General Internal Medicine, Johns Hopkins Bayview Medical CenterJohns Hopkins University School of MedicineBaltimoreUSA

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