References• The cancer Plan (DoH, 2000).• The Cancer Reform Strategy(DoH, 2007).• Advanced Care Planning: A guide for Health & Social Care Staff (2007) at: http//www.endoflifecareforadults.nhs.uk• The End of Life Strategy (DoH, 2008).• Dying Matters Coalition GP Project NCPC (2010) at http//www.dyingmatters.org
Strategies in Instigating an ACP Annie Hunneyball Clinical Nurse Specialist Hospiscare
References• Advance Care Planning: A guide for Health & Social Care Staff (2007) at :http// www.endoflifecareforadults.nhs.uk• Gold Standard Framework Prognostic Indicator Guidance (2008) at: http//www.goldstandardsframework.nhs.uk• The End of Life Strategy (2008) Department of Health, at: http//www.DoH.gov.uk
ADVANCED CARE PLANNING Caroline Prince Clinical nurse specialist Hospiscare
Valid ADRT• I now have MND and benefit from PEG feeding. As my condition deteriorates, if I should lose consciousness and am not expected to recover after 24hrs, I wish feeding, hydration and any other life prolonging treatment such as antibiotics to be withdrawn or withheld although medication such as painkillers for my immediate comfort can be used. This decision to apply even if my life is at risk”
Valid ADRTsI wish to refuse the following In these circumstances:-specific treatments:-Artificial (mechanical) breathing If I have had a severe stroke withmachine little chance of recovering consciousnessAntibiotics If my dementia means that I cannot not make the decision, in the event that I have a severe chest infection that might threaten my life.Artificial feeding (via a tube or drip) When my dementia has deteriorated to the point that I cannot swallow safely, even with the help of others
Last night, my husband and I were sitting in theliving room and I said to him, I never want to live ina vegetative state, dependent on some machineand fluids from a bottle’.He got up, unplugged the computer, and threw out mywine.