- Preface
- Acknowledgments
- Contributors
- Part One The Palliative Advanced Practice Registered Nurse
- Chapter 1 History of the Advanced Practice Role in Palliative Nursing
- Chapter 2 Fundamental Skills and Education for the Palliative Advanced Practice Registered Nurse
- Chapter 3 Credentialing, Certification, and Scope of Practice Issues for the Palliative Advanced Practice Registered Nurse
- Chapter 4 Reimbursement for the Palliative Advanced Practice Registered Nurse
- Chapter 5 Data Utilization for the Palliative Advanced Practice Registered Nurse
- Part Two The Palliative Advanced Practice Registered Nurse across Healthcare Settings
- Part Three Pain and Symptom Management for the Palliative Advanced Practice Registered Nurse
- Part Four Communication
- Chapter 38 Introducing Palliative Care
- Chapter 39 Advance Care Planning
- Chapter 40 Family Meetings
- Chapter 41 Communication at the Time of Death
- Chapter 42 Navigating Ethical Discussions in Palliative Care
- Chapter 43 Culturally Respectful Palliative Care
- Part Five Spiritual Care
- Chapter 44 The Role of the Advanced Practice Registered Nurse in Spiritual Care
- Chapter 45 Communication Principles in Spiritual Care
- Chapter 46 Life Review
- Chapter 47 Interdisciplinary Team Collaboration and the Provision of Spiritual Care
- Part Six Special Situations: Withdrawal of Technology
- Chapter 48 Withdrawal of Cardiology Technology
- Chapter 49 Withdrawal of Respiratory Technology
- Chapter 50 Discontinuation of Life-Sustaining Therapies
- Chapter 51 Palliative Sedation
- Part Seven Special Populations
- Chapter 52 Recurrent Disease and Long-Term Survivorship
- Chapter 53 Cognitive Impairment
- Chapter 54 Patients with Substance Use Disorder
- Chapter 55 Economically Disadvantaged Urban Dwellers
- Chapter 56 Veterans
- Part Eight The Pediatric Palliative Advanced Practice Registered Nurse
- Chapter 57 The Role of the Pediatric Palliative Advanced Practice Registered Nurse
- Chapter 58 Pediatric Palliative Care Across the Continuum
- Chapter 59 Preparing for the Unexpected
- Chapter 60 Pediatric Oncology
- Chapter 61 Pediatric Palliative Care in the Community
- Chapter 62 Communication in Pediatrics
- Index
(p. 379) Advance Care Planning: Advance Directives, Medical Order Sets, and Surrogate Decision Making
- Chapter:
- (p. 379) 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
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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- Preface
- Acknowledgments
- Contributors
- Part One The Palliative Advanced Practice Registered Nurse
- Chapter 1 History of the Advanced Practice Role in Palliative Nursing
- Chapter 2 Fundamental Skills and Education for the Palliative Advanced Practice Registered Nurse
- Chapter 3 Credentialing, Certification, and Scope of Practice Issues for the Palliative Advanced Practice Registered Nurse
- Chapter 4 Reimbursement for the Palliative Advanced Practice Registered Nurse
- Chapter 5 Data Utilization for the Palliative Advanced Practice Registered Nurse
- Part Two The Palliative Advanced Practice Registered Nurse across Healthcare Settings
- Part Three Pain and Symptom Management for the Palliative Advanced Practice Registered Nurse
- Part Four Communication
- Chapter 38 Introducing Palliative Care
- Chapter 39 Advance Care Planning
- Chapter 40 Family Meetings
- Chapter 41 Communication at the Time of Death
- Chapter 42 Navigating Ethical Discussions in Palliative Care
- Chapter 43 Culturally Respectful Palliative Care
- Part Five Spiritual Care
- Chapter 44 The Role of the Advanced Practice Registered Nurse in Spiritual Care
- Chapter 45 Communication Principles in Spiritual Care
- Chapter 46 Life Review
- Chapter 47 Interdisciplinary Team Collaboration and the Provision of Spiritual Care
- Part Six Special Situations: Withdrawal of Technology
- Chapter 48 Withdrawal of Cardiology Technology
- Chapter 49 Withdrawal of Respiratory Technology
- Chapter 50 Discontinuation of Life-Sustaining Therapies
- Chapter 51 Palliative Sedation
- Part Seven Special Populations
- Chapter 52 Recurrent Disease and Long-Term Survivorship
- Chapter 53 Cognitive Impairment
- Chapter 54 Patients with Substance Use Disorder
- Chapter 55 Economically Disadvantaged Urban Dwellers
- Chapter 56 Veterans
- Part Eight The Pediatric Palliative Advanced Practice Registered Nurse
- Chapter 57 The Role of the Pediatric Palliative Advanced Practice Registered Nurse
- Chapter 58 Pediatric Palliative Care Across the Continuum
- Chapter 59 Preparing for the Unexpected
- Chapter 60 Pediatric Oncology
- Chapter 61 Pediatric Palliative Care in the Community
- Chapter 62 Communication in Pediatrics
- Index