Disease-Specific Advance Care Planning Interventions for Older Adults
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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.
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.
KeywordsAdvance care planning Advance directive Older adult Communication Patient-centered Shared decision-making
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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