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Chapter 59 - Advance care planning

Using values and orders in end-of-life care

from Section IV - Principles of care for the elderly

Published online by Cambridge University Press:  05 June 2016

By
Stephen S. Hanson  and
David J. Doukas
Edited by
Jan Busby-Whitehead ,
Christine Arenson ,
Samuel C. Durso ,
Daniel Swagerty ,
Laura Mosqueda ,
Maria Fiatarone Singh  and
William Reichel
Jan Busby-Whitehead
Affiliation:
University of North Carolina
Christine Arenson
Affiliation:
Thomas Jefferson University, Philadelphia
Samuel C. Durso
Affiliation:
The Johns Hopkins University School of Medicine
Daniel Swagerty
Affiliation:
University of Kansas
Laura Mosqueda
Affiliation:
University of Southern California
Maria Fiatarone Singh
Affiliation:
University of Sydney
William Reichel
Affiliation:
Georgetown University, Washington DC
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Summary

Though oral decisions for end-of-life care are valid, clinicians should guide their patients towards written mechanisms, through a process of ongoing conversation that may change as preferences and goals change over the course of time. Living wills and durable powers of attorney for health care, as well as newer forms of advance directives like medical orders regarding life-sustaining treatment outside of the hospital, have ethical implications. Ethical conflicts can be associated with the use of written advance directives. Through the tools of the Values history and the family covenant, a preventive ethics approach to these challenges can be employed through using advance directives in clinical practice.
Type
Chapter
Information
Reichel's Care of the Elderly
Clinical Aspects of Aging
 , pp. 781 - 796
Publisher: Cambridge University Press
Print publication year: 2016

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