rss
BMJ Support Palliat Care 3:256 doi:10.1136/bmjspcare-2013-000491.81
  • ACPEL abstracts
  • Afternoon Breakout 3—Mini Oral Sessions

ADVANCE CARE PLANNING WHO, WHEN AND WHERE. WHAT IS THE EVIDANCE TO SUPPORT THE CALL TO PLAN EARLY

  1. G Caplan1,2
  1. 1The Prince of Wales Hospital and Community Health Services, NSW, Australia
  2. 2Universith of New South Wales, NSW, Australia
  3. 3University of Technology, Sydney, NSW, Australia

Abstract

Background Eighty-six per cent of Australians state a preference to die peacefully at home, in fact only around 20% die at home. What is the evidence that supports our approach to Advance Care Planning? What populations can be effectively targeted? What are the necessary components that comprise and accompany an effective ACP? What are the barriers? What are the important outcomes? How do we provide confidence in the availability of care outside the acute setting to permit the ideal of staff and families/carers following an ACP and avoiding crisis transfers? What is the role of the acute setting in ACP?

Aim To review the evidence that supports a co-ordianated approach to ACP.

Methods This presentation is a systematic review of the evidence that informs our approach to ACP in primary and secondary health care settings

Results The evidence to support a comprehensive, tailored approach to identifying patients who might benefit from ACP, an approach to symptom management and carer support in a primary health care setting with appropriate co-ordination with specialist palliative care will be presented.

Discussion Only 4% of decedents do not have an the Emergency Department (ED) Presentation in the last year of life. The trajectory of chronic illness and co-morbidity determine that ED presentations provide the opportunity to identify patients who might benefit from ACP how can this inform our approach?

Conclusion Advance Care Planning has been associated with improved patient outcomes. The suggested approach supports the aspiration to Plan EARLY, and identifies appropriate target populations and outcome measures.

Free sample issue
This recent issue is  free  to all users to allow everyone the opportunity to see the full scope and typical content of BMJ Supportive & Palliative Care.

View free sample issue >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article