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Review
. 2018 Aug;34(3):316-326.
doi: 10.1016/j.soncn.2018.06.012. Epub 2018 Aug 9.

Advance Care Planning and End-of-Life Decision Making for Patients with Cancer

Rajiv Agarwal, Andrew S Epstein
Review

Advance Care Planning and End-of-Life Decision Making for Patients with Cancer

Rajiv Agarwal et al. Semin Oncol Nurs. 2018 Aug.

Abstract

Objective: To highlight the importance, challenges, and evolution of advance care planning for patients with cancer.

Data sources: Peer-reviewed journal articles and clinical guidelines.

Conclusion: Advance care planning is fundamental to support the personhood of patients with advanced cancer. Patients must be encouraged by physicians and nurses to articulate what matters and provides meaning to them as they live, cope, and receive treatment for their cancer.

Implications for nursing practice: Nurses can facilitate advance care planning and primary palliative care, to support patients and families to make informed and value-concordant decisions regarding cancer and end-of-life treatments.

Keywords: advance care planning; advance directives; cancer; value-concordant care.

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References

    1. White ML, Fletcher JC. The patient self-determination act: on balance, more help than hindrance. JAMA. 1991;266:410–412. - PubMed
    1. Gillick MR. Advance care planning. N Engl J Med. 2004;350:7–8. - PubMed
    1. Tulsky JA. Beyond advance directives: importance of communication skills at the end of life. JAMA. 2005;294:359–365. - PubMed
    1. Blackhall LJ, Murphy ST, Frank G, Michel V, Azen S. Ethnicity and attitudes toward patient autonomy. JAMA. 1995;274:820–825. - PubMed
    1. Sharma RK, Khosla N, Tulsky JA, Carrese JA. Traditional expectations versus US realities: first- and second-generation Asian Indian perspectives on end-of-life care. J Gen Intern Med. 2012;27:311–317. - PMC - PubMed

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