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Modules:

  • Introduction
  • 1. Advance Care Planning
  • 2. Communicating Bad News
  • 3. Whole Patient Assessment
  • 4. Pain Management
  • 5. Assisted Suicide Debate
  • 6. Anxiety, Delirium
  • 7. Goals of Care
  • 8. Sudden Illness
  • 9. Medical Futility
  • 10. Common Symptoms
  • 11. Withholding Treatment
  • 12. Last Hours of Living
  • 13. Cultural Issues
  • 14. Religion, Spirituality
  • 15. Legal Issues
  • 16. Social and Psychological
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    Back to Module 1: Advance Care Planning
    Five Steps for Successful Advance Care Planning

    Step 4. Review and Update Step 5. Apply when Need Arises

    Step 4. Review and Update the Directive

    Follow Up Periodically

    • It is important to revisit the subject of advance care planning on a periodic basis to:
      • Review the patient’s preferences
      • Update the documents

    Note Major Life Events

    • Major life events may affect a person’s attitude toward their health care and/or end-of-life care. These include:
      • Illness
      • Marriage
      • Birth of a child
      • Death of a loved one

    Discuss Changes

    • Any changes in preferences warrant discussion to:
      • Allow the patient to reassess
      • Ensure that the physician and proxy decision-maker fully understand the new wishes

    Document Changes

    • Changes in preferences should be documented
    • Existing documents should be updated and shared appropriately
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