Advance Care Planning: Ethical Decision Making & Communication

This report provides a detailed analysis of advance care planning (ACP) in palliative care, focusing on its impact on patient and family satisfaction. It explores the ethical considerations involved in ACP decision-making, emphasizing the importance of patient autonomy and case-based approaches. Furthermore, the report evaluates the requirements for effective communication in a palliative context, highlighting its role in building trust and security for patients and their families. The discussion is supported by various academic sources, providing a comprehensive overview of the subject. Desklib offers this and many other solved assignments for students.

Advance care planning of palliative
patients

Table of Content.
QUESTION 1...................................................................................................................................1
Explaining the effect an ACP (Advance care plan) has on a patient and their family’s
satisfaction with care....................................................................................................................1
QUESTION 2...................................................................................................................................1
Provide a comprehensive overview of ethical decision-making concerning ACP (Advance care
planning)......................................................................................................................................1
QUESTION 3...................................................................................................................................1
Evaluating the requirements for effective communication in a palliative context......................1
REFERENCES................................................................................................................................3

QUESTION 1.
Explaining the effect an ACP (Advance care plan) has on a patient and their family’s satisfaction
with care
An advanced care planning is generally the process of planning for the future well-being care. It
can link to the well-being care that would or would not like to receive if a person can become
more critical or being injured as well as are not able to effectively communicate their decisions
and preferences. Its process can specifically informs as well as support a person to speak about
their recent as well as a future care treatment plan. An advanced care planning as well as its
importance of enhancing the end of life care, both can empowered by the effective legislations
within Australia. In addition to this, the components of advanced care planning can involve
clarifying a patient's understanding of their illness as well as a care treatment options;
understanding their values, their beliefs as well as the aim of care and determining the wishes as
well (Gabbard et. al., 2019).
QUESTION 2.
Provide a comprehensive overview of ethical decision-making concerning ACP (Advance care
planning)
The medical care decision making to the end of life can be quite difficult for everyone
that is concerned as well as involved within the complex ethical considerations and the particular
situations where there is not one right way forward. In this, the ethical reasoning is generally a
specific element of an advanced care planning that can influence the specific actions of a person
concerned and their relatives, carers and the medical care team as well. In this, the healthcare
professionals as well as the settings can take the four actions in order to encourage the better
decision making within situations where the ethical considerations grows. It can include
encourage the autonomy of the patients via a case based approaches to an ethical decisions
(Ethics in advance care planning, 2021).
QUESTION 3.
Evaluating the requirements for effective communication in a palliative context.
An effective communication is quite essential in a palliative care as it can create a sense
of trust as well as a security for both the vulnerable patient and their family as well. Having an
effective communication among patients and healthcare professionals can effectively decreases
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their stress which they are generally experiencing on regular basis. In the conditions of a critical
disorder, communication is significantly one of the most essential tool that the well-being care
professionals can use in providing the patient information which they generally required to know
taking the situation within practice. It can produce a sense of trust as well as security for both the
vulnerable patients and their families as well (The Importance Of Communication In Palliative
Care, 2018).
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REFERENCES
Books and Journals:
Gabbard, J., Pajewski, N. M., Callahan, K. E., Dharod, A., Foley, K., Ferris, K., ... &
Williamson, J. (2019). Advance care planning for vulnerable older adults within an
Accountable Care Organization: study protocol for the IMPACT randomised controlled
trial. BMJ open, 9(12), e032732.
Leung, D. Y. P., Chan, H. Y. L., Yau, S. Z. M., Chiu, P. K. C., Tang, F. W. K., & Kwan, J. S. K.
(2019). A video‐supported nurse‐led advance care planning on end‐of‐life decision‐
making among frail older patients: Protocol for a randomized controlled trial. Journal of
Advanced Nursing, 75(6), 1360-1369.
Martin, R. S., Hayes, B. J., Hutchinson, A., Yates, P., & Lim, W. K. (2021). Healthcare‐
providers experiences with Advance Care Planning and Goals of Patient Care medical
treatment orders in Residential Aged Care Facilities; an explanatory descriptive
study. Internal medicine journal.
Meinders, M. J., Gentile, G., Schrag, A. E., Konitsiotis, S., Eggers, C., Taba, P., ... & Groot, M.
M. (2021). Advance Care Planning and Care Coordination for People With Parkinson's
Disease and Their Family Caregivers—Study Protocol for a Multicentre, Randomized
Controlled Trial. Frontiers in Neurology, 12.
Otis-Green, S., Thomas, J., Duncan, L., Walling, A., Lieto, C., Kung, J., ... & Wenger, N.
(2019). Advance care planning: Opportunities for clinical social work
leadership. Clinical Social Work Journal, 47(3), 309-320.
Sherry, D., Dodge, L. E., & Buss, M. (2022). Is Primary Care Physician Involvement Associated
with Earlier Advance Care Planning?: A Study of Patients in an Academic Primary
Care Setting. Journal of palliative medicine, 25(1), 75-80.
Stallings, T. L., Temel, J. S., Klaiman, T. A., Paasche-Orlow, M. K., Alegria, M., O’Hare, A., ...
& Eneanya, N. D. (2021). Integrating Conservative kidney management Options and
advance care Planning Education (COPE) into routine CKD care: a protocol for a pilot
randomised controlled trial. BMJ open, 11(2), e042620.
Van Scoy, L. J., Green, M. J., Creswell, J., Thiede, E., Wiegand, D., La, I. S., ... & Levi, B. H.
(2021). Generating a new outcome variable using mixed methods in a randomized
controlled trial: The Caregiver Study—An Advance Care Planning
investigation. Journal of Mixed Methods Research, 15(4), 567-586.
Zhang, X., Jeong, S. Y. S., & Chan, S. (2021). Advance care planning for older people in
mainland China: an integrative literature review. International Journal of Older People
Nursing, 16(6), e12409.
Online:
Ethics in advance care planning, 2021 [Online] Available through:
<https://www.advancecareplanning.org.au/law-and-ethics/ethics-in-advance-care-
planning>
The Importance Of Communication In Palliative Care, 2018 [Online] Available through:
<https://www.drsaptarshighosh.com/blog/the-importance-of-communication-in-
palliative-care>
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