Advanced Care Planning

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Understand   Advance Care Planning.

The difference between Advanced Care Plans (ACP) and a General Care plan (GCP), is that the process of ACP’S is to make clear a person’s wishes, and will usually take place in the context of   an anticipated deterioration in the individual’s future, with attendant loss of capacity to make decisions and/or ability to communicate wishes to others.
A GCP just states physical and mental factors about the individual. Likes and dislikes are mentioned, favourite foods, colours, next-of-kin, medications, allergies, sleeping patterns, continence/incontinence, and notes are made by all professionals about the risk assessments. Notes are made about progress in the individual, or if there should be improvements in certain areas such as diet, eyesight, hearing, certain medication or other areas. Wishes are not mentioned here, other than that to make the individual’s stay as comfortable as possible. Notes are taken into account that should the individual die, or be admitted to hospital, whom to call as next-of-kin, and what the individual wishes as religion and culture are concerned about burials, cremation and in some cultures there are time limits in when to do this.
Advanced Care Planning leads to   an “advanced statement” being made by the individual, giving instructions pertaining to Do Not Attempt   Cardiopulmonary Resuscitation (DNACPR), or in some cases, an Advanced Decision to Refuse Treatment (ADRT). Other decisions like Lasting Power of Attorney are also made here.
With the individual’s permission, all those concerned with the person’s care and well-being should be kept informed of any decisions which have an impact on the individual’s care. All care requires an ongoing, continuing, and effective dialogue between the individual, the carers, the medical teams and the family.
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