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Advance Care Planning

Take charge of your own care in your elder years with Advance Care Planning, also known as Elder Care Planning. Here’s what you need to know about the care planning process.

Have you ever thought about how you would like to be cared for when you are in your older years, or considered your preferred treatment options in the event that you are in a medical crisis and unable to communicate your thoughts?

Here’s where Advanced Care Planning comes in.

What is Elder Care Planning or Advance Care Planning?

Advance Care Planning (ACP) is the process of planning for future healthcare options through a series of voluntary, non-legally binding conversations with your family and doctors. In an ACP discussion, patients are guided to understand, reflect upon, and discuss their goals, values and beliefs; then led to indicate their preferences with regard to future healthcare treatments.

ACP also involves nominating a “substitute decision-maker” who can make decisions on the patient’s behalf. The documented discussion provides guidance for the medical team in making decisions when crisis strikes and the patient is no longer able to communicate.

Stages of Advance Care Planning

General ACP Discussion

Disease-Specific ACP

Preferred-Plan-of-Care ACP

Inclusion Criteria

Adult, generally healthy or with early chronic disease
Has decision-making capacity

Contents

Appoint substitute decision-maker(s)
Decision on goal of care if one is to be rendered severely mentally impaired with low chance of recovery
Comfort care
Life-sustaining

Inclusion Criteria

Adult with decision-making capacity
Organ failure with recurrent hospital admissions and declining function

Contents

Appoint substitute decision-maker(s)
Statement of treatment preference in three clinical scenarios:

Serious complications with low chance of survival
Serious complications with low chance of recovery of physical function or ability to communicate and will require total nursing care
Serious complications with high chance of mental incapacity and will require total nursing care

Specific disease-related care

Inclusion Criteria

Adult with decision-making capacity (DMC)
Includes family members / other informants who have demonstrated acts of care for patients lacking DMC

Contents

Care options on CPR
Care goals for medical intervention when one suffers a potentially life-threatening crisis
Preference of place of care
Preference of place of death
Appointment of substitute decision-maker(s)

Elder Care or Advance Care Planning in Singapore

With funding administered by the Agency of Integrated Care, Khoo Teck Puat Hospital began its Advance Care Planning initiative in 2013. The pilot initiative was launched in the hospital’s palliative care department in January 2013, and has since extended to other departments such as geriatrics, transitional care, dementia, renal and diabetes. As part of the initiative, the hospital also hopes to target the cardiology and respiratory medicine departments in future.

The ACP Clinic in Khoo Teck Puat Hospital is open from Monday to Friday in Clinic C41 and C44. ACP Clinic sessions are facilitated by our trained facilitators. For enquiries, please contact Khoo Teck Puat Hospital’s main line at (+65) 6555 8000 or email ktph.advancecareplanning@ktph.com.sg.

This article was last reviewed on Monday, July 19, 2021