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Advance care planning in the context of clinical deterioration: a systematic review of the literature
Journal article   Open access   Peer reviewed

Advance care planning in the context of clinical deterioration: a systematic review of the literature

Wendy Pearse, Florin I Oprescu, John Endacott, Sarah Goodman, Mervyn B Hyde and Maureen O'Neill
Palliative Care: Research and Treatment, Vol.12
2019
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https://doi.org/10.1177/1178224218823509View
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Abstract

advance care planning advance directives hospital Rapid Response Team palliative care
A Rapid Response Team can respond to critically ill patients in hospital to prevent further deterioration and unexpected deaths. However, approximately one-third of reviews involve a patient approaching the end-of-life. It is not well understood whether patients have pre-existing advance care plans at the time of significant clinical deterioration requiring Rapid Response Team review. Nor is it understood whether such critical events prompt patients, their families and treating teams to discuss advance care planning and consider referral to specialist palliative care services.

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