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Advance Care Planning: Advance Directives, Medical Order Sets, and Surrogate Decision Making 

Advance Care Planning: Advance Directives, Medical Order Sets, and Surrogate Decision Making
Chapter:
Advance Care Planning: Advance Directives, Medical Order Sets, and Surrogate Decision Making
Author(s):

Debra L. Wiegand

and Katherine A. Hinderer

DOI:
10.1093/med/9780190204747.003.0039
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date: 03 July 2020

Advance care planning is essential to assure that palliative and end of life care is based on a patient’s wishes. It provides an opportunity for individuals to contemplate what is important to them at the end of life. Advanced practice registered nurses are in a unique position to initiate, facilitate, and support patients and their families with the advance care planning process. Patients may be reluctant to initiate the discussion on their own but welcome it when the palliative care nurse initiates the discussion. This chapter discusses such topics as healthcare decision-making, advance directives, living wills, durable powers of attorney, surrogate decision-making, as well as the important role the advanced practice registered nurse is positioned to play.

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