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Upstreaming and Normalizing Advance Care Planning Conversations—A Public Health Approach

School of Nursing, Case Western Reserve University, 2120 Cornell Road, Cleveland, OH 44106, USA
Author to whom correspondence should be addressed.
Academic Editor: Maureen P. Keeley
Behav. Sci. 2017, 7(2), 18;
Received: 27 February 2017 / Revised: 5 April 2017 / Accepted: 7 April 2017 / Published: 12 April 2017
(This article belongs to the Special Issue Family Communication at the End of Life)
PDF [190 KB, uploaded 12 April 2017]


As a society, we simply don’t talk about this universal experience called dying and death; in fact, we ignore it until we have to face it. Thus, it is often in a crisis experience when we have to make decisions while we are laden with uncertainty and intense emotions. Sixty percent of people say making sure their family is not burdened by tough decisions is extremely important, yet 56% of them have not held a conversation about its context. Instead of waiting to make end-of-life decisions, let us begin to think about what matters most while we are living, what we value most, and how we translate these values into conversations about what is important. As a public health concern, if we can upstream the advance care planning discussion into usual health promotion activities, perhaps, as a society, we can begin to normalize and reshape how we make decisions about the last chapters of our lives. View Full-Text
Keywords: advance care planning; death education; public health advance care planning; death education; public health
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Prince-Paul, M.; DiFranco, E. Upstreaming and Normalizing Advance Care Planning Conversations—A Public Health Approach. Behav. Sci. 2017, 7, 18.

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