Background Theintersection and practice of advance care planning (ACP) and palliative care(PC) varies across health care organizations and models of care.

Aim Tohighlight ACP challenges and opportunities for clinicians and teams providing primaryand/or specialty palliative care.

Methods In thisworkshop, participants will share experiences around the intersection of ACPand PC. Presenters will facilitate case-based discussion to highlight points oftension including: optimal timing of ACP discussions; physician-led vs.team-based ACP; achieving ACP goals in the context of competing time demands;ACP communication and coordination; and eliciting and understanding care goalsin the context of complex family dynamics.

Discussion PC teamsoften face unique challenges around ACP as a result of factors that include:uninformed, late or no prior planning; confusing conversations in the contextof failing cognition; dynamic changes in patient-family values and/orpreferences; lack of time and PC staffing; poor ACP communication and systemcoordination; and unrealistic demands for non-beneficial treatments. Thesession will incorporate evidence-based research and examples of tools andsystems to support more effective ACP in advanced illness.

Conclusion ACP is a fundamental component of primary and specialty palliativecare. Following this workshop, participants will acquire practical insights andstrategies toward ACP implementation within the broader organizational contextand changes in health care.