Improving care at the end of life: how advance care planning can help.
Based on a comparison of studies of patient desires regarding end-of-life care and of the actual course of end-of-life care, this article concludes that there is a significant discrepancy in the United States between the kind of care most people want and the kind of care they in fact receive. The article offers a case example to illustrate one type of dilemma commonly encountered in end-of-life care. It then introduces and describes the practice of advance care planning. Use of advance care planning, it is argued, can prevent moral dilemmas and improve end-of-life care.
Moskop
John C
JC
Department of Medical Humanities, The Brody School of Medicine, East Carolina University, Greenville, North Carolina 27858, USA. moskopj@mail.ecu.edu
D032722:Advance Care Planning; D003657:Decision Making; D006801:Humans; D010353:Patient Education as Topic; D010358:Patient Participation