Samanta Ash, Samanta Jo
University Hospitals of Leicaster, NHS Trust.
Br J Nurs. 2010;19(16):1060-1. doi: 10.12968/bjon.2010.19.16.78208.
Advance care planning is a process designed to enable patients to discuss and record their values and treatment preferences to inform future care in the event that they lose decision-making capacity. Current law provides for the appointment of a proxy decision-maker under a Lasting Power of Attorney, or advance decisions for treatment refusal. A further option is a statement of wishes to record the values and views to be used to inform the determination of best interests. Nurses can play an invaluable role in facilitating open and frank discussion.
预先护理计划是一个旨在使患者能够讨论并记录其价值观和治疗偏好的过程，以便在他们丧失决策能力时为未来的护理提供依据。现行法律规定可通过持久授权书指定一名代理决策者，或作出拒绝治疗的预先决定。另一种选择是一份愿望声明，记录用于确定患者最大利益的价值观和观点。护士在促进坦诚开放的讨论方面可以发挥极其重要的作用。
