The manual provides strategies for having advance care planning discussions with different groups of people, guidance about how to create an effective advance directive, and suggestions about what systems an organization needs to develop to make advance care planning successful. Anyone who needs to talk with adults about end-of-life decisions or advance directives will find this to be a valuable guide. The manual contents are listed below.
Chapter 2: Advance Care Planning and Advance Directives: Understanding the Language, Concepts and Tools
Chapter 3: Rights and Goods: An Overview of Law, Medicine and Ethics related to Advance Care Planning
Appendix I: Legal Misunderstandings of Advance Care Planning
Appendix II: Summary of Treatments to Consider
Appendix III: Sample Comfort Care Standards
Chapter 4: Advance Care Planning: Facilitating the Process
Appendix I: Some Initial Steps When Requested
Appendix II: Competency "Facilitating Advance Care Planning Discussions"
Appendix III: Competency "Facilitating Advance Care Planning Discussions with Different Groups of Adults"
Appendix IV: "Living Well" Structured Interview
Chapter 5: Creating an Advance Directive: Communicating the Plan
Appendix I: Competency "Assisting in Completion of an Advance Directive"
Appendix II: Power of Attorney for Health Care: Template for Comparison of State Statute
Chapter 6: Tools for Promoting and Assisting with Advance Care Planning
Appendix I: Five Wishes
Appendix II: La Crosse's Power of Attorney for Healthcare
Appendix III: Physicians Orders for Life-Sustaining Treatment (POLST)
Appendix IV: Listing of Patient Educational Materials
Chapter 7: Making Advance Care Planning Work: Organizational Strategies
Appendix I: Gundersen Lutheran Advance Directive Policy
Appendix II: Advance Care Planning Educational Record
Appendix III: Script/Protocol for Unit Nurses
Chapter 8: Strategies for Educating Health Professionals and the Community
Appendix I: Advance Care Planning Request: Intake Form
Appendix II: Competency "Complies with Guidelines on Advance Care Planning"
Appendix III: Suggested Outline for Community Presentation on Advance Care Planning
Chapter 9: Religious and Cultural Perspectives on Advance Care Planning
Chapter 10: Frequently Asked Questions about End-of-Life Planning
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