Overview

The capabilities of medicine and technology have evolved to provide ever increasingly complex care and keep patients alive in health states that they might not desire. This has created an added responsibility for the physician to anticipate future care needs and to guide treatments as patients become more ill and less functional. Advance care planning is an essential tool in the physician’s armamentarium and this skill set must be honed to ensure that patients receive care consistent with their informed preferences and appropriate to their prognosis. In this activity, Dr. Wenger will discuss the components of advance care planning including serial discussion with patients about clinical circumstances and prognosis, incorporating specific tools, coordinating among the team of physicians caring for a patient across venues of care. He will address how to building strong relationships with patients and families, and keep a consistent focus on goals of care to provide high quality treatment and achieve optimal end-of-life care.

Learning Objectives

  • Demostrate how the compression of morbidity and increasing availability of technically-advanced treatments come together to require advance care planning to provide high quality care to complex patients
  • Review advance care planning models and structures that improve care toward the end life.
  • Identify tools to enhance planning for appropriate care toward the end of life including POLST and building better goals of care notes.
  • Recognize situations in which inappropriate treatment and decision making disagreements are common in order to reduce the likelihood of conflict in end of life care.

Faculty Disclosures

The following financial relationships have been disclosed by faculty.

Neil S. Wenger, MD, MPH

No financial relationships to disclose.

Disclosures

Pamela Kushner, MD, FAAFP (Reviewer): Speaker’s Bureau for AstraZeneca; and Janssen Pharmaceuticals, Inc. Consultant for AstraZeneca; Boehringer Ingelheim; Janssen Pharmaceuticals, Inc.; and Lilly. Advisory Board for Pfizer, Inc.

Patrick Alguire, MD, FACP (Reviewer): Stock Holder for Amgen Inc; Bristol-Myers Squibb; Express Scripts; GlaxoSmithKline PLC; Medtronic Inc; Stryker Corporation; Teva Pharmaceutical Industries.

All other non-faculty contributors to planning, development, editing and review of content have no financial relationships to disclose.

Commercial Supporters

Not Applicable

Education Partners

Pri-Med – UCLA


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