What is Advance Care Planning (ACP)
- Why is ACP important and needed?
- Benefits and barriers
- Continuum of ACP
- Impact of unwanted, nonbeneficial treatment
- Why ACP discussions are not started
What is Serious illness
- Serious illness/Dying trajectories
Serious Illness Messaging
- Serious illness conversation guide
- COVID-19 response tool
- Vital talks
- 2023 serious illness conversation guide
Communication and Critical Conversations
- Communication needs of the patient
- Communication needs of the family
- Patient and family expectations
- Communication and shared decision making
- Who initiates the discussion
- Tools to assist ACP conversations
- Explain the default policy
- Non-beneficial treatment
- Questions for the doctor
- Questions at the time of diagnosis
- How much can we share
The Power of Four Words
- “What Matters to You”
- What to discuss
- Culturally appropriate discussions
- Goals of care/ Treatment options discussion
- Centering treatment on what matters
- Lack of continuity
Treatments to Prolong life
- Video, “Ain’t No Way to Die”
- CPR discussion
- Responding to emotion
- COVID 19 and critical conversations
- Maintaining hope and truth
Addressing Consent and Decision-Making Challenges
- Medical/professional obligations
Advance Care Planning Documents
- What is an advance directive (vs a will)?
- When to review an advance directive
- Misconceptions about advance directives
- When to do an advance directive
- What is a healthcare agent
- Things to consider when choosing a healthcare agent
- Examples of a healthcare agent
- What is POLST
- Where does POLST fit in?
- Comparing advance directive to POLST
- Our role with POLST
- What happens in an emergency situation?
“How long do I have?”
- What is medical prognosis
- Determining prognosis
- What about the probable outcome
- Scales and tools to assist with prognostication
- Our role is prognosis communication
- Using the Serious Illness Conversation Guide
- Cultural considerations about disclosure of diagnosis and prognosis