Importance of discussion on advanced care planning (part I)

Publisher’s note: This post is the first in a two -part series on the importance of discussing the wishes of a patient during the advanced care planning process. The first part speaks more to doctors, nurses and caregivers while the second part will be directed to patients and families.

The question is often asked: “Isn’t that a proxy signed for health care?” The answer is No! Signing the document without discussion on the patient’s values, beliefs and wishes is only a half -accomplished task.

A facilitated discussion that requires, “What do you think?” And “what do you want?” Gives both the patient and the facilitator the opportunity to reach a level of comfort with each other which allows to ask and consider deeper questions.

A level of confidence is developing and the patient may be able to express concerns or ask questions that have not been revealed before. The involvement of the patient’s family in this discussion will deepen their relations as it explores this territory together.

In his book, “the best possible care”, says Dr. Ira Byock, “the best possible care comes from the understanding of what makes people vibrate, their values ​​and the way these values ​​apply to care.”

Good or bad?

There are no bad answers. These discussions concern our patients as an individual. All their responses and their underlying belief structures are correct! Certain beliefs based on disinformation may require further clarification or studies, but their opinions and feelings are valid in the context of their understanding. It is essential to increase their knowledge or understanding of the decisions that have them if they want to ask questions they need when they speak with their care providers.

Talk to your patients!

Organize significant discussions and note the answers. Your treatment and for your patients and their families will benefit from your in -depth understanding of whom they are as individuals and the way they work as a family unit. Your patients and their families will benefit from the knowledge of the decisions they may be in their future. Finally, the care provided at the end of life will improve as health care providers recognize the desires of unique individuals for whom they have the privilege and the responsibility of serving.

Last update: November 6, 2018