Advance Care Planning and Goals of Care Communication in Older Adults with Cardiovascular Disease and Multi-Morbidity.
This article provides an approach to advance care planning (ACP) and goals of care communication in older adults with cardiovascular disease and multi-morbidity. The goal of ACP is to ensure that the medical care patients receive is aligned with their values and preferences. In this article, the authors outline common benefits and challenges to ACP for older adults with cardiovascular disease and multimorbidity. Recognizing that these patients experience diverse disease trajectories and receive care in multiple health care settings, the authors provide practical steps for multidisciplinary teams to integrate ACP into brief clinic encounters.
VA Eastern Colorado Geriatric Research Education and Clinical Center (GRECC), 1055 Clermont Streeet, Denver, CO, 80220, USA; Division of Geriatric Medicine, Department of Medicine, University of Colorado School of Medicine, 12631 East 17th Avenue, B-179, Aurora, CO 80045, USA. Electronic address: Hillary.Lum@ucdenver.edu.
Hillary D
HD
Lum
Division of Geriatrics, Department of Medicine, San Francisco Veterans Affairs Medical Center, University of California, SFVAMC 4150 Clement Street, #151R, San Francisco, CA 94121, USA.
Rebecca L
RL
Sudore
D032722:Advance Care Planning / Q000941:ethics / Q000458:organization & administration; D000368:Aged; D002318:Cardiovascular Diseases / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D015897:Comorbidity; D003657:Decision Making; D006801:Humans; D010347:Patient Care Planning; D010817:Physician-Patient Relations
Advance care planning; Cardiovascular disease; Communication; Goals of care; Multi-morbidity; Older adults; Patient-doctor relationship