Definition
Advance Care Planning
Advance care planning (ACP) is a communication process that aims to help an individual plan for future medical care if the person is unable to make his or her own medical decisions. An estimated 45%–70% of older adults facing end-of-life treatment decisions are incapable of making those decisions themselves (Institute of Medicine (IOM) 2014). ACP helps an individual prepare for a sudden unexpected illness or injury, from which the person may recover, as well as the dying process and ultimately death. The goal of ACP is to ensure that individuals receive care consistent with their expressed preferences during serious and chronic illnesses (Sudore et al. 2017). An additional goal of ACP is to ensure the desired care will help the person live well as death approaches and die in their preferred setting.
ACP empowers a person to authorize a trusted...
This is a preview of subscription content, log in via an institution.
References
Barehmi Z (2016) Coalition to transform advanced care – C-TAC launches service affiliate C-TAC innovations, which includes respecting choices. https://www.thectac.org/2016/09/c-tac-launches-service-affiliate-c-tac-innovations-includes-respecting-choices/. Accessed 27 May 2019
Bernacki RE, Block SD (2014) American College of Physicians High Value Care Task Force. Communication about serious illness care goals: a review and synthesis of best practices. JAMA 174(12):1994–2003. https://doi.org/10.1001/jamainternmed.2014.5271
Bomba PA (2005) Advance care planning along the continuum. Case Manager 16(2):68–72. https://doi.org/10.1016/j.casemgr.2005.01.015
Bomba PA (2011) Landmark legislation in New York affirms benefits of a two-step approach to advance care planning including MOLST: a model of shared, informed medical decision-making and honoring patient preferences for care at the end of life. Widener Law Review 17:475–500
Bomba PA, Orem KG (2015) Lessons learned from New York’s community approach to advance care planning and MOLST. Ann Palliat Med 4(1):10–21. https://doi.org/10.3978/j.issn.2224-5820.2015.01.05
Bomba PA, Richardson KG (2009) End-of-life care survey of upstate New Yorkers: advance care planning values and actions c102. J Am Geriatr Soc 57(4):S147
Bomba PA, Vermilyea D (2006) Integrating POLST into palliative care guidelines: a paradigm shift in advance care planning in oncology. J Natl Compr Cancer Netw 4(8):819–829. https://doi.org/10.6004/jnccn.2006.0069
California Health Care Foundation (2012) Final chapter: Californians’ attitudes and experiences with death and dying. http://www.chcf.org/publications/2012/02/final-chapter-death-dying. Accessed 27 May 2019
Chan CWH, Wong MMH, Choi KC et al (2019) Prevalence, perception, and predictors of advance directives among Hong Kong Chinese: a population-based survey. Int J Environ Res Public Health 16(3):365. https://doi.org/10.3390/ijerph16030365
Excellus BlueCross BlueShield (2017) End-of-life care survey highlights: a survey of upstate New York, 2017. https://www.excellusbcbs.com/wps/wcm/connect/c9888ad3-589e-46e7-9b37-8adccaa0165b/End-of-Life%2BCare%2BSurvey%2BHighlights_EX%2BFINAL%2B4.6.17.pdf?MOD=AJPERES&CACHEID=c9888ad3-589e-46e7-9b37-8adccaa0165b. Accessed 10 June 2019
Fahner JC, Beunders AJM, van der Heide A et al (2019) Interventions guiding advance care planning conversations: a systematic review. J Am Med Dir Assoc 20(3):227–248. https://doi.org/10.1016/j.jamda.2018.09.014
Hammes BJ, Rooney BL (1998) Death and end-of-life planning in one midwestern community. Arch Intern Med 158(4):383–390. https://doi.org/10.1001/archinte.158.4.383
Hong S (2004) A study on the model of the advance directives for prolongation of life for effective application of the medical insurance finance. Daejeon, Republic of Korea: Daejeon University. Ph.D. thesis
Institute of Medicine (2014) Dying in America: improving quality and honoring individual preferences near the end of life. The National Academies Press, Washington, DC
Kim SS, Lee WH, Cheon JY et al (2012) Preferences for advance directives in Korea. Nurs Res Pract 2012:873–892. https://doi.org/10.1155/2012/873892
Korfage I, Rietjens J, van der Heide A (2017) ADVANCE – advance care planning; an innovative palliative care intervention to improve quality of life in cancer patients – a multi-centre cluster randomized clinical trial – FP7 project. Impact 2017(4):37–39. https://doi.org/10.21820/23987073.2017.4.37
Mack JW, Cronin A, Taback N et al (2012) End-of-life care discussions among patients with advanced cancer: a cohort study. Ann Intern Med 156(3):204–210. https://doi.org/10.7326/0003-4819-156-3-201202070-00008
MacKenzie MA, Smith-Howell E, Bomba PA, Meghani SH (2017) Respecting choices and related models of advance care planning: a systematic review of published evidence. Am J Hosp Palliat Care 20(10):1–11. https://doi.org/10.1177/1049909117745789
National Quality Forum (2006) A national framework and preferred practices for palliative and hospice care quality. https://www.qualityforum.org/Publications/2006/12/A_National_Framework_and_Preferred_Practices_for_Palliative_and_Hospice_Care_Quality.aspx. Accessed 27 May 2019
Pfeifer MP, Mitchell CK, Chamberlain L (2003) The value of disease severity in predicting patient readiness to address end-of-life issues. Arch Intern Med 163(5):609–612. https://doi.org/10.1001/archinte.163.5.609
Prochaska JO, DiClemente CC (1984) The transtheoretical approach: crossing traditional boundaries of therapy. Dow Jones-Irwin, Homewood
Prochaska JO, Goldstein MG (1991) Process of smoking cessation. Implications for clinicians. Clin Chest Med 12(4):727–735
Sudore RL, Lum HD, You JJ et al (2017) Defining advance care planning for adults: a consensus definition from a multidisciplinary Delphi panel. J Pain Symptom Manag 53(5):821–832. https://doi.org/10.1016/j.jpainsymman.2016.12.331
Teno JM, Gruneir A, Schwartz Z, Nanda A, Wetle T (2007) Association between advance directives and quality of end-of-life care: a national study. J Am Geriatr Soc 55(2):189–194. https://doi.org/10.1111/j.1532-5415.2007.01045.x
Tierney WM, Dexter PR, Gramelspacher GP et al (2001) The effect of discussions about advance directives on patients’ satisfaction with primary care. J Gen Intern Med 16(1):32–40. https://doi.org/10.1111/j.1525-1497.2001.00215.x
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Section Editor information
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this entry
Cite this entry
Bomba, P.A. (2019). Advance Care Planning: Advance Directives. In: Gu, D., Dupre, M. (eds) Encyclopedia of Gerontology and Population Aging. Springer, Cham. https://doi.org/10.1007/978-3-319-69892-2_1028-1
Download citation
DOI: https://doi.org/10.1007/978-3-319-69892-2_1028-1
Received:
Accepted:
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-69892-2
Online ISBN: 978-3-319-69892-2
eBook Packages: Springer Reference Biomedicine and Life SciencesReference Module Biomedical and Life Sciences