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Carte mentale ACP

Caroline Tête

Created on January 16, 2025

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Transcript

Avantages et Défis
Objectifs
ACP dans le monde
Définition
Eléments clés
Plaidoyer
Compréhension

Advance Care Planning

Politique santitaire
Rôle des professionnels
Acteurs impliqués
Pratique
Spécialitémédicale
Etapes du processus
Evaluation
Ressources et outils
Populationspécifique
Benefits and challenges
Objectives
ACP around the world
Definition
Key elements
Advocacy
Understanding

Advance Care Planning

Health Politics
Role of Professionals
Peopleinvolved in ACP
Practice
Specific medical condition
Steps of the process
Evaluation
Specific population
Resources and tools

Recommandations

Understanding the use of medicare procedure codes for advance care planning: a National qualitative study

Economie

Healthcare professionals

Patient

Proxy, family

Volunteers

Caregivers, surrogate

Public

Ireland

United Kingdom

Norway

Northern Ireland

Germany

Sweden

Canada

Belgium

The Netherlands

Hungary

Austria

Switzerland

United States

Asia (Hong Kong, Indonesia, Japan, South Korea, Singapore, Taiwan)

Brazil

Malaysia

Thailand

New-Zealand

Argentina

Australia

South Africa

Resources and tools

There is many tools for promoting or helping to design the Advance Care Plan. Here is few examples...

Plaidoyer

L'Advance Care Planning suscite le débat. Voyons les avantages et les inconvénients de ce processus reconnus dans la littérature

VS

Advance care planning and advance directives: an overview of the main critical issues

The challenges and opportunities of Advance Care Planning

Cognitive and behavioural bias in advance care planning

For people dying to talk, it finally pays to listen with reimbursable advance care planning

What makes advance care planning discussion so difficult? A systematic review of the factors of advance care planning in healthcare

Understanding the role of knowledge in advance care planning engagement

Définition

Processus qui permet aux individus de réfléchir à leurs préférences, leurs valeurs et leurs souhaits concernant les soins médicaux à recevoir en cas de maladie grave ou de perte d'autonomie.

L'article de référence :

Discussion

Formalisation

Révision

3 éléments clés : les discussions avec le patient et les proches, la formalisation de ces discussions via le dossier médical et les formulaires officiels (directives anticipées, personne de confiance, plans...), la mise à jour régulière des documents par de nouvelles discussions

Eléments clés

Gériatrie

Cardiologie

Neurologie

Insuffisance cardiaque

EHPAD

Démence, SLA

Oncologie

Pneumologie

COPD

fin de vie

What clinicians and researchers should know about the evolving field of advance care planning: a narrative review.

Deconstructing the complexities of advance care planning outcomes: what do we know and where do we go? A scoping review.

One minute to understand the process of Advance Care Planning

Understanding of ACP

Ressources et outils

Il existe de nombreux outils pour promouvoir ou aider à concevoir l'Advance Care Plan. En voici quelques exemples...

Publicly available, interactive web-based tools to support advance care planning: systematic review.

Online public information about advance care planning: An evaluation of UK and international websites

Mobile applications for advance care planning: a comprehensive review of features, quality, content, and readability

Effect of an app for promoting advance care planning and motivating patients to write their advance directives

Using Zoom and card game to conduct advance care planning classes: an innovative practice

Forms or free-text? Measuring advance care planning activity using electronic health records

Palliaguide.be/Advance Care Planning

Plateforme ViP

The Web-based advance care planning program “Explore Your Preferences for Treatment and Care”: development, pilot study, and before-and-after evaluation

  • Autonomie : Respecter les volontés et les valeurs des patients.
  • Préparation : Prévenir les décisions médicales difficiles à des moments critiques
  • Clarté : Clarifier les attentes des patients et des familles en facilitant la communication avec les professionnels de santé.
  • Réduction du stress : Diminuer les ambiguïtés dans des moments de crise

Objectifs

Outcomes that define successful advance care planning: a Delphi panel consensus.

Mechanisms and contextual influences on the implementation of advance care planning for older people in long-term care facilities: a realist review.

Advance care planning evaluation: a scoping review of best research practice.

Sherry D, Dodge LE, Buss M. Is primary care physician involvement associated with earlier advance care planning? A study of patients in a academic primary care setting. J Palliat Med. 2022 Jan;25(1):75-80.

Médecins

Punia H, Kaasalainen S, Ploeg J, Strachan P, Sussman T. Exploring the role of nurses in advance care planning within long-term care homes: a qualitative study. SAGE Open Nurs. 2024 Apr 29:10.23779608241249335.

Infirmiers

Goodwin L, Proctor A, Kirby K, Black S, Pocock L, Richardson S, Stronehouse J, Taylor H, Voss S, Benger J. Staff stakeholder views on the role of UK paramedics in advance care planning for patients in their last year of life. Prog Palliat Care. 2021;29(2):76-83.

Ambulanciers

Professionnels de santé

Patient

Proches, famille

Bénévoles

Aidants, personne de confiance

Grand public

Publicly available, interactive web-based tools to support advance care planning: systematic review.

Online public information about advance care planning: An evaluation of UK and international websites

Mobile applications for advance care planning: a comprehensive review of features, quality, content, and readability

Effect of an app for promoting advance care planning and motivating patients to write their advance directives

Using Zoom and card game to conduct advance care planning classes: an innovative practice

Forms or free-text? Measuring advance care planning activity using electronic health records

Palliaguide.be/Advance Care Planning

Plateforme ViP

The Web-based advance care planning program “Explore Your Preferences for Treatment and Care”: development, pilot study, and before-and-after evaluation

What clinicians and researchers should know about the evolving field of advance care planning: a narrative review.

Deconstructing the complexities of advance care planning outcomes: what do we know and where do we go? A scoping review.

Definition

Advance care planning enables individuals to define goals and preferences for future medical treatment and care, to discuss these goals and preferences with family and health-care providers, and to record and review these preferences if appropriate.

Reference:

Ethnic minority

Children

Elderly

Gender minority

Precarity

Pregnant women

Une minute pour comprendre comment faire son Advance Care Planning

  • Autonomy: Respect wishes and values of patients.
  • Preparation: Prevent the difficult medical decisions at difficult times.
  • Clarity: Clarify patients and family expectations by facilitating communication with healthcare professionals.
  • Stress reduction: Decrease ambiguities in times of crisis.

Objectves

Comprendre l'ACP

Recommendations

Understanding the use of medicare procedure codes for advance care planning: a National qualitative study

Economics

VS

Advance care planning and advance directives: an overview of the main critical issues

The challenges and opportunities of Advance Care Planning

Cognitive and behavioural bias in advance care planning

For people dying to talk, it finally pays to listen with reimbursable advance care planning

What makes advance care planning discussion so difficult? A systematic review of the factors of advance care planning in healthcare

Understanding the role of knowledge in advance care planning engagement

Discussion

Formalisation

Revision

3 key elements:

  • discussions with patient and their proxy,
  • formalisation of theses discussions via medical record and official forms (advance directives, surrogate, plans...),
  • regular updates of the documents by new discussions.

Key Elements

Geriatrics

Cardiology

Neurology

Heart failure

Nursing homes

Dementia, als

Oncology

Pneumology

COPD

end of life

Outcomes that define successful advance care planning: a Delphi panel consensus.

Mechanisms and contextual influences on the implementation of advance care planning for older people in long-term care facilities: a realist review.

Advance care planning evaluation: a scoping review of best research practice.

Sherry D, Dodge LE, Buss M. Is primary care physician involvement associated withearlier advance care planning? A study of patients in a academic primary care setting. J Palliat Med. 2022 Jan;25(1):75-80.

Physicians

Punia H, Kaasalainen S, Ploeg J, Strachan P, Sussman T. Exploring the role of nurses in advance care planning within long-term care homes: a qualitative study. SAGE Open Nurs. 2024 Apr 29:10.23779608241249335.

Nurses

Goodwin L, Proctor A, Kirby K, Black S, Pocock L, Richardson S, Stronehouse J, Taylor H, Voss S, Benger J. Staff stakeholder views on the role of UK paramedics in advance care planning for patients in their last year of life. Prog Palliat Care. 2021;29(2):76-83.

Paramedics

Irlande

Norvège

Royaume-Uni

Irlande du Nord

Suède

Allemagne

Belgique

Pays-Bas

Canada

Hongrie

Autriche

Suisse

Etats-Unis

Asie (Hong Kong, Indonésie, Japon, Corée du Sud, Singapour, Taïwan)

Brésil

Malaisie

Thaïlande

Nouvelle-Zélande

Argentine

Australie

Afrique du Sud

Minorité ethnique

Enfants

Personnes âgées

Minorité de genre

Précarité

Femmes enceintes

Advocacy

Advance Care Planning is arousing debate. Let's see the met benefits and challenges of the process in the literature