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Translating Individual Values into Excellence in Advance Care Planning
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Presenting today
Doris Barwich
Rachel Carter
Cari Borenko
Hoffmann
Pat Porterfield
Karen Sanderson
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Presenter Disclosure Information
No conflicts of interest
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Advance Care Planning • A process where you
that can help you get care that’s right for you
to support informed health-care decision making
think about and share your values, beliefs and wishes
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How ACP influences care
Advance Care Planning Your values, beliefs and
wishes.
Advance Care Plan documented and shared.
Decision about Substitute Decision Maker.
Care Plan and Medical Orders
Goals of Care Conversations
Shared Understanding, Shared Decision Making.
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Poll Instructions
• To participate, join the session by either:
• Text
• Join the session by sending a text message saying “QF2017” to 37607 (just once)
• Vote by sending your answer to 37607
• Web
• Go to pollev.com/QF2017
• Any issues? Raise your hand
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Have you done your ACP?
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ACP In British Columbia
71% have thought about what matters most to them regarding their health care
27% have documented their wishes for their health care
49% have discussed this with their family
10% have discussed this with their health-care provider
Data from a survey of 500 British Columbians, September 2016
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Meet Catherine
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Catherine’s ACP • Think about:
• What gives her life meaning?
• What would she want if she became unexpectedly unwell?
• Who would be her substitute decision maker?
• Conversations with family
• Documentation
• Organ donation
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Catherine... 20 years later
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Catherine’s ACP… 20 years later
• Clarify understanding of illness with health-care provider
• Review ACP • Wishes, including interventions
• Substitute Decision Maker
• Documentation
• Conversations with family and health-care provider
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Catherine …. another 5 years
13
Catherine... another 5 years
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Catherine’s ACP… another 5 years
• Review ACP
• Conversations with health-care provider: • Discuss illness, goals,
fears/worries & priorities
• Translating wishes into care plan
• Advance Directive No-CPR & MOST
• Conversations with family
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Activity: Advance Care Planning
• Part 1: Thinking. (2 min) On your own
• Part 2: Sharing. (3 min) In pairs
• Part 3: How did you find it? (5 min) Table discussion
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Activity: Part 1 - Thinking
What are your values, beliefs and wishes
with respect to health care?
(2 min)
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Activity: Part 2 - Sharing
In Pairs:
• Imagine you are speaking with your Substitute Decision Maker.
•Try sharing what you just thought about. • How would you begin the conversation? • How would you share these thoughts?
(3 min)
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Activity: Part 3 - How did you find it?
Among your tables:
• How did you find parts 1 and 2 of the activity?
• What most sticks out for you?
(5 min)
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A Voice Not Heard
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Patient-Centered Care
Vision • Patients at the forefront of
their health & care • Control over choices • Informed decision making • Partnership
Principles • Dignity and Respect • Information Sharing • Participation • Collaboration
Practices • Embed into
Systems • (Advance Care
Planning) • (Goals of care
conversations)
Drivers Health System Priorities Dimensions of Quality
BC Patient-Centered Care Framework (2015) adaptation
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Activity: Where are we now with respect to ACP influencing
patient-centered care? Part 1: Discuss among your tables
•What are we doing well?
•What could we do better?
(5 min)
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Activity: Where are we now with respect to ACP influencing
patient-centered care? Part 2: Share with the whole group
•Send in the 5 keywords that best represent your conversation (words must be single words)
(2 min)
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What do you think of when you hear ACP in the context of patient-centered care?
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Our Vision
Support patient-centred care by improving the transition
between Advance Care Planning
and the care people receive.
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Looking Forward…
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Thank you for participating!
For more information about our work come and visit our table in the foyer on the 3rd floor
ACP Day April 16 “What matters
to you?” day June 6