What happens if you can no longer speak for yourself? Who could speak for you? What matters to you? If you are thinking about these questions, watch on to learn about Advance Care Planning (ACP)!
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Recap 🕵️♀️
ACP is the process of planning for your future healthcare options through a series of voluntary, non-legally binding conversations. It can be conducted by any trained ACP facilitators.
1. General ACP is suited for adults who are generally healthy or with stable medical conditions.
2. Disease-specific ACP is catered for those with progressive and life-limiting illnesses with frequent complications such as organ failures. It accounts for the trajectory of the disease of the patient and discusses the specific circumstances that the patient may encounter in the future.
3. Preferred Plan of Care (PPC) is for patients with less than 12 months of prognosis and takes into account end-of-life preferences
Important points about PPC!
✅ Values and beliefs
During a PPC discussion, the patient is invited to share about:
His life, values beliefs, as well as his fears with his family and his healthcare team. This is important so that they know what matters to him.
His health conditions and his experiences when he was sick. This guides the healthcare team to provide medical care that is in line with his goals and values when he is no longer able to communicate these wishes.
✅ Medical preferences
The patient is guided in discussing his medical preferences so that the medical team knows what he wants if he no longer can make his own decisions. Would he prefer the medical team to attempt cardiopulmonary resuscitation (CPR), mechanical ventilation, intravenous antibiotics etc. or would he prefer to let nature take its course and for the team to optimise his comfort?
✅ Preferred place of care/ death
The patient is guided to think about where he would like to receive treatment in the event of deterioration. Where would he like to pass away should he have days to live?
✅ Nomination of Nominated Healthcare Spokesperson (NHS)
When the patient can no longer make decisions for himself, the NHS knows what is important to him and can then act in his best interest.
Animation transcript: bit.ly/3mD5ctD
References
1. Agency for integrated care. All About ACP. Retrieved from www.aic.sg/care-services/all-about-acp
2. “Stepped-approach Advance Care Planning (ACP) framework" that is adapted from Respecting Choices®, Gundersen Health System. Information extracted from Living Matters General ACP Facilitator training slides (Master) on 19 Nov 2020.
Content experts: Dr. Ho Peiyan and Dr. Laurence
Video producer: Perry Lee
Voiceover: Henry Kong
Illustrators: Lim Yujun and Tam Wai Hua
This video is done in collaboration with GERI Institute - www.geri.com.sg/
All rights are reserved to GeriCare and there should not be any reproduction, publication, or adaptation of any part of the video content without prior approval from GeriCare.
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