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Advance care planning: thinking, talking and planning end of life care PowerPoint Presentation
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Advance care planning: thinking, talking and planning end of life care

Advance care planning: thinking, talking and planning end of life care

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Advance care planning: thinking, talking and planning end of life care

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Presentation Transcript

  1. Advance care planning: thinking, talking and planning end of life care

  2. Purpose of the consultation • To provide information about • The patient context • The history • The process • The benefits • The challenges • The future developments

  3. The patient context • Could be anyone with an interest in planning their future health needs • Current focus is on those who meet agreed indicators e.g. • With a terminal or chronic progressive illness • Expected to be in their last year of life

  4. The history • National ACP Cooperative formed June’10 by clinicians and care providers. • Several goals incl. engaging community, training health workers, supporting clinicians, developing consistent documentation. • Legal framework: Code of Health and Disability Services Consumers’ Rights 1996 (the Code of Rights) and the Protection of Personal and Property Rights Act 1988 (The PPPR Act) • Good level of ‘in principle’ support from Canterbury Clinicians in primary & secondary care

  5. The process • Suitable competent patient identified (criteria) • Facilitator or clinician discusses information available about ACP • Patient expresses interest • Facilitator or clinician discusses content of plan (probably reflection time after this) • Plan completed and made available (system availability under discussion) • Patient deteriorates in accordance with plan and plan implemented – subject to final direction of clinician

  6. The benefits • More patient choice in ‘end of life’ care • Creation of shared understanding in the relationship • Patient’s plan continues to speak for them when they are no longer competent to do so • Reduction in burden for family/whanau and clinicians around choices of care • Reduction in undesired interventions for the patient • Not set in stone – able to reviewed, changed or cancelled by patient

  7. The challenges • Documentation – overcome, “My ACP” live and will be reviewed after a trial period • Time & funding – under consideration • Skills – Training is being arranged • Resources - http://ci.streamliners.co.nz and Healthinfo.org.nz

  8. Future developments • Other consultative groups to ‘spread the word’ incl groups of clinicians • Identify and recommend most appropriate IT system for plans to be accessed (work underway) • Identification of funding mechanisms for GPs • Holding workshops and training courses