Advance Care Planning Case Study

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Scope
This review will focus on the similarities and challenges related to Advance Care Planning (ACP).

Introduction
ACP is a relatively important topic that aids general public to make a more informed decision regarding their healthcare with a more educated population and the increasing acceptance for patient autonomy, as well the advanced medical technology that increases the average life expectancy as a result.

ACP is defined as a continuous process whereby the patient’s wishes regarding medical treatments and end-of-life care are clearly discussed and documented down to be used should the individual become incapacitated in decision-making (Ng, 2009). The topic of ACP has not been widely accepted and practiced locally compared to westernized
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Kass-Bartelmes & Hughes (2003) identified the lack of communication between the patients, family members, and healthcare providers. Information given was too complicated to understand which in turn causes confusion about treatments available. Similarly, different research expressed the need for early discussion when the patients are still healthy although the doctors may find it difficult and uncomfortable initiating the conversation leading to missed opportunities. However, it can instil hope if it is carried out delicately (Ng,…show more content…
Consistent with the literature from both Ng (2009) and Street & Ottmann (2006), on the average, terminally ill patients experienced pain most of the time. This is due to unsuitable aggressive treatments and late execution for palliative care. If not, it is due to family members’ unwillingness to disclose the bad news of health deterioration or imminent death to the patients.

Limited awareness and knowledge for the different end-of-life care options is one explanation for the slow uptake. If not, it is the misconception that end-of-life care is only done near the stage of death (Ng, 2009). Religious beliefs play a significant part in influencing the ACP decision-making process. Asian culture in particular deemed it as a taboo topic and should never be raised, as it is rude.

Surprising, majority will choose acute hospital care over a hospice that is more economical and effective in the long term. In contrast with their built-in misconception, hospice provides enhanced intensity and quality of care than a hospital. Rather than insisting in futile acute treatments, shifting the focus towards improving end-of-life care and well-being would be the best alternative. In other words, Koh (2011) suggests to grant the patients a peaceful death or to “die in place” (pg.

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