Reynolds Joanne, Croft Sue
Wirral Community NHS Trust, Merseyside.
Nurs Stand. 2011;25(36):35-42. doi: 10.7748/ns2011.05.25.36.35.c8515.
Patient choice and control should be central to the delivery of high-quality, end of life care. Advance care planning (ACP) is a process through which a patient's choices and preferences for care can be discussed and documented. It also enables patients to express what they would want to happen to them in the event that they lose capacity to make decisions. This article focuses on the use of the patient-held Preferred Priorities for Care (PPC) document, an example of an ACP tool. This article aims to provide a greater understanding of the PPC document as an end of life care tool and increase practitioners' knowledge, confidence and competence in undertaking ACP conversations with patients and their carers. Four case studies are provided to link theory to practice.
患者的选择和控制权应成为高质量临终关怀服务的核心。预先护理计划(ACP)是一个过程,通过该过程可以讨论并记录患者对于护理的选择和偏好。它还能使患者表达在其失去决策能力的情况下希望发生在自己身上的事情。本文重点关注患者持有的《护理优先偏好》(PPC)文件的使用,这是一种ACP工具的示例。本文旨在增进对PPC文件作为临终关怀工具的理解,并提高从业者在与患者及其护理人员进行ACP对话方面的知识、信心和能力。提供了四个案例研究以将理论与实践联系起来。