Chapter

The evolution of Advance Care Planning in Australia with a focus on hospital care

William Silvester and Karen M Detering

in Advance Care Planning in End of Life Care

Published in print December 2010 | ISBN: 9780199561636
Published online November 2011 | e-ISBN: 9780191730542 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780199561636.003.0020
The evolution of Advance Care Planning in Australia with a focus on hospital care

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This chapter describes the synopsis of evolution of Advance Care Planning (ACP) in Australia, the results of a randomized controlled trial of ACP in elderly inpatients, and the key elements to successful Advance Care Planning. ACP improves end of life care and patient and family satisfaction and reduces stress, anxiety, and depression in surviving relatives. Despite the intentions of good legislation, the provision of good end of life care is still inadequate. ACP only occurs if health professionals are trained to facilitate it with patients and their families and if system changes are made to support and authorize a change in clinical practice.

Keywords: elderly patients; Australia; Advance Care Planning; clinical practice; end of life; legislation

Chapter.  1896 words. 

Subjects: Palliative Medicine

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