Advance care planning in life-limiting illnesses

  title={Advance care planning in life-limiting illnesses},
  author={Carmen H.M. Houben},
It is important that the wishes of patients with life-limiting illnesses about care and treatment during the final stage of life are being discussed in a timely manner, so that this patient group can be offered good care. This process, which is called advance care planning (ACP), rarely takes place in clinical practice, though. This ACP study tries to initiate this process in patients with chronic obstructive pulmonary disease (COPD). A one-time consultation with a trained pulmonary nurse was… Expand
2 Citations
Cluster-randomised trial of a nurse-led advance care planning session in patients with COPD and their loved ones
One nurse-led ACP-intervention session improves patient-physician end-of-life care communication without causing psychosocial distress in both patients and loved ones. Expand
The Feasibility and Effectiveness of Web-Based Advance Care Planning Programs: Scoping Review
Assessment of Web-based, interactive, and person-centered Advance care planning programs found they appeared to be feasible, as participants considered programs as easy to use and not burdensome, and improved concordance between care as preferred by the patients and the decisions of clinicians and health care representatives. Expand


Advance care planning in COPD
Future studies should focus on interventions that facilitate concurrent ACP and prepare patients for making in‐the‐moment decisions, with the goal of improving the quality of end‐of‐life care. Expand
Patient-physician communication about end-of-life care for patients with severe COPD
This study identifies areas of communication that physicians do not address and areas that patients rate poorly, including talking about prognosis, dying and spirituality, which may provide targets for interventions to improve communication about end-of-life care for patients with chronic obstructive pulmonary disease. Expand
A Randomized, Controlled Trial to Improve Advance Care Planning Among Patients Undergoing Cardiac Surgery
The PC-ACP can be an effective approach to advance care planning because its specificity and relevance to patients’ actual medical conditions can lead to greater patient–surrogate congruence without increasing decisional conflict and anxiety. Expand
Early intervention in planning end-of-life care with ambulatory geriatric patients: results of a pilot trial.
A facilitated discussion about end-of-life care between patients and their health care agents helps define and document the patient's wishes for both patient and agent. Expand
A prospective study of advance directives for life-sustaining care.
The effectiveness of written advance directives is limited by inattention to them and by decisions to place priority on considerations other than the patient's autonomy. Expand
Bioethics for clinicians: 6. Advance care planning.
Physicians can play an important role by informing patients about advance care planning directing them to appropriate resources, counselling them as they engage in advance care plans and helping them to tailor advance directives to their prognosis. Expand
Advance care planning in chronic obstructive pulmonary disease: barriers and opportunities
  • J. Heffner
  • Medicine
  • Current opinion in pulmonary medicine
  • 2011
Patients with COPD benefit from better integration of palliative and disease-specific care throughout the course of their disease from diagnosis to death, and Pulmonary rehabilitation may provide a platform for coordinating integrated care. Expand
A call for high-quality advance care planning in outpatients with severe COPD or chronic heart failure.
There is a need for advance care planning, taking into account the burden of treatment, outcome ofreatment, and likelihood of outcome, in patients with severe COPD or CHF, and the quality of patient-physician end-of-life care communication needs to improve. Expand
The impact of advance care planning on end of life care in elderly patients: randomised controlled trial
Advance care planning improves end of life care and patient and family satisfaction and reduces stress, anxiety, and depression in surviving relatives. Expand
Living with advanced chronic obstructive pulmonary disease: patients concerns regarding death and dying
Improved patient education is needed in order to improve patients understanding of their condition and prognosis, and open communication regarding death, as advocated in a palliative care approach, is also appropriate to alleviate patients fears. Expand