Next Article in Journal
Networks and Emotions in Cooperative Work: A Quasi-Experimental Study in University Nursing and Computer Engineering Students
Next Article in Special Issue
End-of-Life Care in Acute Hospitals: Practice Change Reported by Health Professionals Following Online Education
Previous Article in Journal
Proposal of Dental Hygiene Diagnosis for Cancer Patients Based on Dental Hygiene Process of Care in Acute Care Hospitals: A Narrative Review
Commentary

Advance Care Planning (ACP) vs. Advance Serious Illness Preparations and Planning (ASIPP)

1
Department of Critical Care Medicine, Queen’s University, Kingston, ON K7L 2V7, Canada
2
Clinical Evaluation Research Unit, Kingston Health Science Centre, Kingston, ON K7L 2V7, Canada
Healthcare 2020, 8(3), 218; https://doi.org/10.3390/healthcare8030218
Received: 29 May 2020 / Revised: 7 July 2020 / Accepted: 10 July 2020 / Published: 18 July 2020
(This article belongs to the Special Issue Improving Management and Decision-Making Near End of Life)
COVID-19 has highlighted the reality of an impending serious illness for many, particularly for older persons. Those faced with severe COVID-19 infection or other serious illness will be faced with decisions regarding admission to intensive care and use of mechanical ventilation. Past research has documented substantial medical errors regarding the use or non-use of life-sustaining treatments in older persons. While some experts advocate that advance care planning may be a solution to the problem, I argue that the prevailing understanding and current practice of advance care planning perpetuates the problem and results in patients not receiving optimal patient-centered care. Much of the problem centers on the framing of advance care planning around end of life care, the lack of use of decision support tools, and inadequate language that does not support shared decision-making. I posit that a new approach and new terminology is needed. Advance Serious Illness Preparations and Planning (ASIPP) consists of discrete steps using evidence-based tools to prepare people for future clinical decision-making in the context of shared decision-making and informed consent. Existing tools to support this approach have been developed and validated. Further dissemination of these tools is warranted. View Full-Text
Keywords: end of life; serious illness; advance care planning; communication and decision-making; critical care end of life; serious illness; advance care planning; communication and decision-making; critical care
Show Figures

Figure 1

MDPI and ACS Style

Heyland, D.K. Advance Care Planning (ACP) vs. Advance Serious Illness Preparations and Planning (ASIPP). Healthcare 2020, 8, 218. https://doi.org/10.3390/healthcare8030218

AMA Style

Heyland DK. Advance Care Planning (ACP) vs. Advance Serious Illness Preparations and Planning (ASIPP). Healthcare. 2020; 8(3):218. https://doi.org/10.3390/healthcare8030218

Chicago/Turabian Style

Heyland, Daren K. 2020. "Advance Care Planning (ACP) vs. Advance Serious Illness Preparations and Planning (ASIPP)" Healthcare 8, no. 3: 218. https://doi.org/10.3390/healthcare8030218

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop