Robinson Lucy, Paes Paul
Northumbria Healthcare NHS Trust and Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, Tyne and Wear, United Kingdom.
Newcastle University and Northumbria Healthcare NHS Trust, School of Medicine, Framlington Place, Newcastle University, Newcastle upon Tyne, Tyne and Wear, United Kingdom.
Clin Med (Lond). 2025 Jun 18;25(4):100339. doi: 10.1016/j.clinme.2025.100339.
Advance care planning (ACP) is done in anticipation of something adverse happening and the likelihood of losing the capacity to be involved in future decision making. ACP encourages people to think about what might happen in serious illness scenarios and to consider their needs or wishes. As long-term conditions, multimorbidity, frailty and end-of-life care become more dominant health challenges, planning for future problems and giving patients and their carers the tools to self-manage becomes more imperative. ACP is part of this philosophy of care, anticipating and planning for future health and care needs. Increasingly, the utility of ACP seems to lie more in promoting conversations and particularly shining a light on the values that give people their identity. Patient relationships with family caregivers and health professionals, and a collective shared understanding, improve through the ACP process. Enabling people to be cared for in a way that preserves their identities and values for as long as possible seems to be more effective than focusing on documentary outputs.
预先护理计划（ACP）是在预期可能发生不利情况以及失去参与未来决策能力的可能性时进行的。ACP鼓励人们思考在重病情况下可能发生的事情，并考虑他们的需求或愿望。随着长期疾病、多种疾病并存、身体虚弱和临终关怀成为更主要的健康挑战，为未来问题制定计划并为患者及其护理人员提供自我管理的工具变得更加紧迫。ACP是这种护理理念的一部分，即对未来的健康和护理需求进行预期和规划。越来越多地，ACP的效用似乎更多地在于促进对话，尤其是揭示赋予人们身份认同的价值观。通过ACP过程，患者与家庭护理人员以及健康专业人员之间的关系以及集体的共同理解得到改善。使人们能够以尽可能长时间保持其身份和价值观的方式得到护理，似乎比关注书面文件产出更有效。
