Advanced Care Plan (ACP) in End-of-Life Care

Understanding an Advanced Care Plan

An Advanced Care Plan (ACP) is a specific type of plan created well in advance of end-of-life care. It is developed with the patient's full consent and, where appropriate, their carers. The ACP is used only if the patient can no longer speak for themselves.

Purpose and Importance

If a situation arises where the patient cannot express their wishes, the ACP comes into force to guide decisions on their behalf. It is crucial that anyone who might be in such a position understands what an ACP is, its contents, and what it can include.

Examples of ACP Use

For instance, a patient diagnosed with dementia may anticipate losing the mental capacity to make rational decisions. They might create an ACP stating that if their condition leads to a loss of mental capacity, they do not wish to be admitted to hospital and prefer to die at home.

Content of an Advanced Care Plan

In the ACP, the patient may specify the types of treatment they desire or wish to avoid. During the planning process, they might also detail how they want to be treated as they approach the end of life, incorporating their individual religious or cultural beliefs.

Amending the Plan

The ACP can be amended at any time, but only by the person to whom the plan pertains. Neither care professionals nor family members can alter the ACP without the patient's explicit wishes.

Formats for Recording an ACP

An Advanced Care Plan can be recorded in any format the individual prefers, such as a letter, an audio recording, or a video.

Conclusion

An Advanced Care Plan ensures that a patient's preferences for end-of-life care are respected and followed when they can no longer communicate their wishes. Understanding and implementing ACPs is crucial for providing patient-centred care.