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Advance care planning for older people 

Advance care planning for older people
Chapter:
Advance care planning for older people
Author(s):

Aline De Vleminck

and Luc Deliens

DOI:
10.1093/med/9780198701590.003.0160
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date: 18 October 2019

It has been suggested that end-of-life care for older people is currently inadequately adapted to their needs. Engaging early in the exploration of their wishes and preferences is of particular importance in this population. Since communication can be difficult for patients at the end of life, especially for those suffering from cognitive deficiencies such as dementia, it is important to become aware of wishes or preferences regarding care in advance and engage in advance care planning (ACP). ACP discussions can play a major role in facilitating adaptation to illness realities by providing patients with information about diagnosis and prognosis, by leading to appropriate decision-making, by alleviating anxiety, and by improving quality of life throughout the trajectory of the illness. ACP initially began as a movement to establish advance directives (ADs), but we have seen a shift to more emphasis being put on the process of communication and interaction.

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