Advance care planning

Advance care planning (ACP) is done in anticipation of something adverse happening and the likelihood of losing the capacity to be involved in future decision making. ACP encourages people to think about what might happen in serious illness scenarios and to consider their needs or wishes. As long-te...

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Main Authors: Lucy Robinson, Paul Paes
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Clinical Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1470211825000570
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author Lucy Robinson
Paul Paes
author_facet Lucy Robinson
Paul Paes
author_sort Lucy Robinson
collection DOAJ
description Advance care planning (ACP) is done in anticipation of something adverse happening and the likelihood of losing the capacity to be involved in future decision making. ACP encourages people to think about what might happen in serious illness scenarios and to consider their needs or wishes. As long-term conditions, multimorbidity, frailty and end-of-life care become more dominant health challenges, planning for future problems and giving patients and their carers the tools to self-manage becomes more imperative. ACP is part of this philosophy of care, anticipating and planning for future health and care needs. Increasingly, the utility of ACP seems to lie more in promoting conversations and particularly shining a light on the values that give people their identity. Patient relationships with family caregivers and health professionals, and a collective shared understanding, improve through the ACP process. Enabling people to be cared for in a way that preserves their identities and values for as long as possible seems to be more effective than focusing on documentary outputs.
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series Clinical Medicine
spelling doaj-art-444c75d38fb24580af545f7231eac7572025-08-20T03:41:14ZengElsevierClinical Medicine1470-21182025-07-0125410033910.1016/j.clinme.2025.100339Advance care planningLucy Robinson0Paul Paes1Northumbria Healthcare NHS Trust and Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, Tyne and Wear, United KingdomNewcastle University and Northumbria Healthcare NHS Trust, School of Medicine, Framlington Place, Newcastle University, Newcastle upon Tyne, Tyne and Wear, United Kingdom; Corresponding author.Advance care planning (ACP) is done in anticipation of something adverse happening and the likelihood of losing the capacity to be involved in future decision making. ACP encourages people to think about what might happen in serious illness scenarios and to consider their needs or wishes. As long-term conditions, multimorbidity, frailty and end-of-life care become more dominant health challenges, planning for future problems and giving patients and their carers the tools to self-manage becomes more imperative. ACP is part of this philosophy of care, anticipating and planning for future health and care needs. Increasingly, the utility of ACP seems to lie more in promoting conversations and particularly shining a light on the values that give people their identity. Patient relationships with family caregivers and health professionals, and a collective shared understanding, improve through the ACP process. Enabling people to be cared for in a way that preserves their identities and values for as long as possible seems to be more effective than focusing on documentary outputs.http://www.sciencedirect.com/science/article/pii/S1470211825000570Advance care planningPalliative carePatient preferences
spellingShingle Lucy Robinson
Paul Paes
Advance care planning
Clinical Medicine
Advance care planning
Palliative care
Patient preferences
title Advance care planning
title_full Advance care planning
title_fullStr Advance care planning
title_full_unstemmed Advance care planning
title_short Advance care planning
title_sort advance care planning
topic Advance care planning
Palliative care
Patient preferences
url http://www.sciencedirect.com/science/article/pii/S1470211825000570
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AT paulpaes advancecareplanning