• Med. Clin. North Am. · Mar 2015

    Review

    Advance care planning in the elderly.

    • Hillary D Lum, Rebecca L Sudore, and David B Bekelman.
    • Division of Geriatric Medicine, Department of Medicine, University of Colorado School of Medicine, 12631 East 17th Avenue, B-179, Aurora, CO 80045, USA; Department of Medicine, VA Eastern Colorado Healthcare System, 1055 Clermont Street, Denver, CO 80220, USA. Electronic address: Hillary.Lum@ucdenver.edu.
    • Med. Clin. North Am. 2015 Mar 1; 99 (2): 391-403.

    AbstractKey components of advance care planning (ACP) for the elderly include choosing a surrogate decision maker, identifying personal values, communicating with surrogates and clinicians, documenting wishes in advance directives, and translating values and preferences for future medical care into medical orders. ACP often involves multiple brief discussions over time. This article outlines common benefits and barriers to ACP in primary care, and provides practical approaches to integrating key ACP components into primary care for older adults. Opportunities for multidisciplinary teams to incorporate ACP into brief clinic visits are highlighted. Published by Elsevier Inc.

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