Mann Mala, Cahill Caitlin, Sivell Stephanie, Hackett Robyn, Harding Elin, Taubert Mark
Marie Curie Research Centre, Cardiff University, Cardiff, UK
Palliative Medicine, Velindre University NHS Trust, Cardiff, UK.
BMJ Support Palliat Care. 2025 Aug 26;15(5):614-617. doi: 10.1136/spcare-2025-005616.
Future care planning (FCP) is increasingly discussed within supportive and palliative care policy contexts in the UK and internationally. This article incorporates a scoping review of the literature to provide a summary overview. FCP is discussed as a policy element improving end-of-life care by encompassing advance care planning and furthermore including individuals with diminished decision-making capacity through a best-interests approach. The evidence base further indicates that FCP is being increasingly applied in palliative care settings worldwide and has been adopted as part of several national strategies, including in Wales and in Scotland. A clear and consistent definition of FCP will help support health and social care professionals working in frailty and palliative care. Our review identified definitions of FCP in the existing literature and described what a future care plan is, including what end-of-life care should look like and incorporate.
在英国及国际上,支持性与姑息治疗政策背景下对未来照护规划(FCP)的讨论日益增多。本文纳入了对文献的范围综述以提供简要概述。FCP被作为一项政策要素进行讨论,它通过涵盖预先照护规划,进而通过最佳利益法纳入决策能力减退的个体,以此改善临终关怀。证据基础还表明,FCP在全球姑息治疗环境中得到越来越多的应用,并已被纳入包括威尔士和苏格兰在内的多项国家战略。对FCP给出清晰一致的定义将有助于支持从事衰弱和姑息治疗工作的卫生与社会护理专业人员。我们的综述确定了现有文献中FCP的定义,并描述了未来照护计划是什么,包括临终关怀应是什么样以及应包含哪些内容。