National Advance Care Planning Day
April 12, 2011
www.advancecareplanning.ca
A lack of knowledge about preferences for care can result in confusion and conflict between family members and health professionals at a critical time
(Ottawa) – Over 25 associations across Canada have joined together to champion April 12th as National Advance Care Planning Day, a day of awareness and action for Canadians. The Advance Care Planning National Task Force, a group representing professional organizations and non-governmental groups from across Canada, has developed the “Speak Up: Start the conversation about end-of-life care” campaign to remind Canadians to think about and talk about their wishes for end-of-life-care.
“Most of us hope to die peacefully and able to communicate with others until the very end, but death usually doesn’t occur this way,” says Sharon Baxter, Executive Director of the Canadian Hospice Palliative Care Association (CHPCA) and a member of the Task Group. “Advance care planning helps others make decisions on your behalf when you cannot speak for yourself.”
Advance care planning is a process of reflection and communication about personal care preferences in the event that you become incapable of consenting to or refusing treatment or other care. Your plan may include information about procedures such as CPR and mechanical ventilation, as well as other personal information, such as spiritual preferences or specific wishes for family members or friends. One of the most important aspects of advance care planning is naming and having a conversation with a Substitute Decision Maker – someone who will speak on your behalf and make decisions for you – but only when you are not able to do so yourself.
According to a 2004 poll conducted by Ipso-Reid on behalf of the Canadian Hospice Palliative Care Association and GlaxoSmithKline, eight in ten respondents agreed that people should start planning for end of life when they are healthy, however 70% of them had not prepared a plan, and 47% had not designated someone to speak for them if they are unable to communicate.
A 2008 study found that the absence of Advance Care Planning, in all its forms, was associated with worse patients’ ratings of quality of life in the terminal phase of the illness and worse ratings of satisfaction by the family during the terminal illness or in the months that follow death.
Research also indicates that patients who have end of life conversations with health professionals and family members are much more likely to be satisfied with their care, require fewer aggressive medical interventions at the end of life and are more likely to take advantage of hospice resources or die at home.
The Speak Up campaign includes a website (www.advancecareplanning.ca) with tools to help people start these sometimes difficult conversations, as well as advance care planning resources such as workbooks, wallet cards and links to provincial / territorial legislation and planning information.
“As health care technologies and life saving interventions continue to improve and people live longer – many with complex medical conditions – advance care planning becomes increasingly important,” says Ms. Baxter. “We need to communicate our feelings around the use of certain procedures at the end of life, and what we believe gives our life meaning. These are personal, individual choices that every Canadian deserves at the end of life. Make sure your voice is heard.”
For more information: www.advancecareplanning.ca
The Canadian Hospice Palliative Care Association (CHPCA) is a national, bilingual charitable non-profit association with membership comprised of individuals and hospice palliative care programs and services from every province and territory. The CHPCA is a member of the National Advance Care Planning Task Group, comprised of representatives from a number of organizations and professions across Canada. The Task Group has collaborated to develop Advance Care Planning in Canada: A National Framework and Implementation and the Speak Up campaign.
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