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What is Advance Care Planning (ACP)

Chapter 21
Handbook of Research on Technoethics
This refers to an ongoing communication process exploring the patient’s end-of-life care wishes and discussing these wishes with surrogates and healthcare professionals. By the end, the patient can record their treatment preferences by means of advance directives, but the focus of the communication is to ensure that the trio will understand the personal values underpinning the patient’s care wishes and preferences.
Published in Chapter:
Ethical Challenges of Engaging Chinese in End-of-Life Talk
Samantha Mei-che Pang (Hong Kong Polytechnic University, Hong Kong)
Copyright: © 2009 |Pages: 12
DOI: 10.4018/978-1-60566-022-6.ch021
Abstract
In Hong Kong, end-of-life practice ideally adheres to values that include respect for the patient’s selfdetermination and an understanding shared by and consented to by the patient, the family and the healthcare team. However, consensus about end-of-life care is seldom reached within this trio before the patient become critically ill or mentally incompetent. This chapter examines the customary belief, protectiveness in medical care, which hinders Chinese patients and families in their discussion of lifesustaining treatment; challenges the practice in question; and discusses the possibility of engaging frail nursing home residents in dialogue by using the “Let Me Talk” advance care planning program.
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