Journal article
Failure of the Current Advance Care Planning Paradigm: Advocating for a Communications-Based Approach
HEC forum, v 28(4), pp 339-354
01 Dec 2016
PMID: 27392597
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The purpose of advance care planning (ACP) is to allow an individual to maintain autonomy in end-of-life (EOL) medical decision-making even when incapacitated by disease or terminal illness. The intersection of EOL medical technology, ethics of EOL care, and state and federal law has driven the development of the legal framework for advance directives (ADs). However, from an ethical perspective the current legal framework is inadequate to make ADs an effective EOL planning tool. One response to this flawed AD process has been the development of Physician Orders for Life Sustaining Treatment (POLST). POLST has been described as a paradigm shift to address the inadequacies of ADs. However, POLST has failed to bridge the gap between patients and their autonomous, preferred EOL care decisions. Analysis of ADs and POLST reveals that future policy should focus on a communications-based approach to ACP that emphasizes ongoing interactions between healthcare providers and patients to optimize EOL medical care to the individual patient.
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Details
- Title
- Failure of the Current Advance Care Planning Paradigm: Advocating for a Communications-Based Approach
- Creators
- Laura Vearrier - Drexel University
- Publication Details
- HEC forum, v 28(4), pp 339-354
- Publisher
- Springer Nature
- Number of pages
- 16
- Resource Type
- Journal article
- Language
- English
- Web of Science ID
- WOS:000410009400005
- Scopus ID
- 2-s2.0-84978080349
- Other Identifier
- 991019312369204721
UN Sustainable Development Goals (SDGs)
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- Web of Science research areas
- Ethics