TY - JOUR T1 - The evolution of Austin health's ‘Statement of Choices’ JF - BMJ Supportive & Palliative Care JO - BMJ Support Palliat Care SP - 89 LP - 89 DO - 10.1136/bmjspcare-2011-000053.78 VL - 1 IS - 1 AU - L Jackson AU - K Detering AU - W Silvester AU - A Hancock Y1 - 2011/06/01 UR - http://spcare.bmj.com/content/1/1/89.1.abstract N2 - Background The Respecting Patient Choices team has been doing advance care planning since 2002. We encourage people to nominate a substitute decision maker (SDM) and document their health care wishes on a ‘Statement of Choices’ (SOC). This document has evolved and now includes four components to ensure that the written plans are understood and appropriately acted upon by doctors. They are: to record a person's wishes about future medical treatment based on their goals, values and beliefs.to record this information in a language that doctors would recognise and could act upon.be easy to fill in.to provide prompts for people facilitating the ACP conversation. Aim To evaluate the evolution of the SOC. Methods A retrospective audit of SOC completed in 2010. Results Most people (70%) choose to nominate a SDM and complete a SOC. People generally nominate a family member as their SDM and the majority (>90%) indicate on their SOC that they ‘would not want CPR even if the doctors think it could be beneficial’ and ‘do not want life prolonging treatment (LPT) at all’. 25% provided guidance on what would be an ‘acceptable outcome’. The SOC is recognised by the doctors and is acted upon. Conclusions▶ Austin Health has devised a SOC form that enables people to record their medical treatment preferences especially in relation to CPR and LPT.▶ The SOC is being further evolved for specific chronic conditions (eg, dialysis). ER -