Advance Care Planning for Older People with Cancer and Its Implications in Asia: Highlighting the Mental Capacity and Relational Autonomy
Abstract
:1. Introduction
- Current development and research work on ACP among older people with cancer in the world
- The benefit of ACP for older people with cancer
- The challenges and implications when promoting ACP in Asia
- The recommendations for further clinical practice, research and policy convictions
2. Development of ACP
2.1. Definition and Meaning of ACP
2.2. Development and Legislation of ACP in the World
2.3. General Introduction of Current Research on ACP in the World
3. Impact of ACP for Older People with Cancer
3.1. Facilitators and Barriers for ACP among Patients with Cancer or Older Adults
3.2. Mental Capacity as a Special Concern in ACP for Older People with Cancer
3.2.1. Meaning of Mental Capacity and Principles to Protect a Person’s Right on Decision Making
- A person must be assumed to have mental capacity unless he or she is proven to lack capacity.
- A person should not be considered as unable to make a decision unless all possible methods have been used without success.
- A person should not be considered as unable to make a decision only because he or she made an unwise decision.
- A decision made on a person’s behalf, who lacks capacity, should be in his or her best interest.
- This act should be applied in a less restrictive manner of a person’s rights and freedom of action.
3.2.2. ACP for People with Potentially Deteriorating or Fluctuating Mental Capacity
3.2.3. How Should Capacity Be Assessed?
4. Challenges of Promoting and Implementing ACP in Asia: Taiwan and Singapore as Examples
4.1. Cultural Adaptation for the Concept of ACP and EOL Discussion
4.2. Involvement of Families and Physicians in ACP Is Crucial
4.3. Relational Autonomy as a Practical Approach in Asia
4.4. Different Legislation Underpinning ACP in Asia
5. Recommendation
6. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Lin, C.-P.; Cheng, S.-Y.; Chen, P.-J. Advance Care Planning for Older People with Cancer and Its Implications in Asia: Highlighting the Mental Capacity and Relational Autonomy. Geriatrics 2018, 3, 43. https://doi.org/10.3390/geriatrics3030043
Lin C-P, Cheng S-Y, Chen P-J. Advance Care Planning for Older People with Cancer and Its Implications in Asia: Highlighting the Mental Capacity and Relational Autonomy. Geriatrics. 2018; 3(3):43. https://doi.org/10.3390/geriatrics3030043
Chicago/Turabian StyleLin, Cheng-Pei, Shao-Yi Cheng, and Ping-Jen Chen. 2018. "Advance Care Planning for Older People with Cancer and Its Implications in Asia: Highlighting the Mental Capacity and Relational Autonomy" Geriatrics 3, no. 3: 43. https://doi.org/10.3390/geriatrics3030043