Advance care planning and severe chronic diseases

Germán Diestre Ortín, Vanessa González Sequero, Núria Collell Domènech, Francisca Pérez López, Pablo Hernando Robles

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    8 Citations (Scopus)

    Abstract

    Introduction: Advanced care planning (ACP) helps in make decisions on the health problems of people who have lost the capacity for informed consent. It has proven particularly useful in addressing the end of life. The aim of this study was to determine the prevalence of ACP in patients with severe chronic diseases. Material and methods: Review of medical records of patients with dementia, amyotrophic lateral sclerosis, Parkinson's disease, chronic obstructive pulmonary disease or interstitial lung disease, heart failure, chronic kidney disease on dialysis and cancer, all in advanced stages. We collected data on living wills or registered prior decisions by the physician according to clinical planned. Results: A total of 135 patients were studied. There was a record of ACP in 22 patients (16.3%). In most of them it was planned not to start any vital treatment in the event of high risk of imminent death and lacking the ability to make decisions. Only two patients were had a legal living will. Conclusion: The registration of ACP is relatively low, and this can affect decision-making in accordance with the personal values of patients when they do not have the capacity to exercise informed consent. © 2012 SEGG.
    Original languageEnglish
    Pages (from-to)228-231
    JournalRevista Espanola de Geriatria y Gerontologia
    Volume48
    Issue number5
    DOIs
    Publication statusPublished - 1 Jan 2013

    Keywords

    • Advance care planning
    • Bioethics
    • Palliative care

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    Diestre Ortín, G., González Sequero, V., Collell Domènech, N., Pérez López, F., & Hernando Robles, P. (2013). Advance care planning and severe chronic diseases. Revista Espanola de Geriatria y Gerontologia, 48(5), 228-231. https://doi.org/10.1016/j.regg.2013.01.001