Advance Care Planning in Older Adults

Abstract

Advance care planning (ACP) is a process that empowers patients to communicate their healthcare wishes, goals, and preferences with family and healthcare providers, in anticipation of a time when they may be unable to express these themselves. Effective ACP upholds patient autonomy, enabling individuals to actively participate in decisions about their end-of-life care. This enhances the quality of life for both patients and their caregivers while alleviating the burden on families. Despite its recognized importance, healthcare providers often initiate ACP discussions only in the advanced stages of illness, limiting time for preparation and emotional adjustment. Furthermore, both healthcare providers and the general public often fear engaging in conversations about death and dying, which presents a significant barrier to ACP. Initiating these conversations earlier, preferably before a crisis occurs, allows individuals to express their preferences, values, and goals for care. This ultimately leads to more personalized and meaningful healthcare decisions.