Advance care planning is often defined as a process of communication among a patient, his/her healthcare providers, family members or caregivers regarding the kind of care that will be considered appropriate when he/she can no longer make a decision.
Advance directives set out how the patient want to be treated if they become seriously ill and unable to communicate their wishes. In many jurisdictions, it must be witnessed by a medical practitioner and people who are not beneficiaries to the Will.
If the patient becomes terminally ill or in a state of irreversible coma or in a persistent vegetative state as diagnosed by the attending doctor and at least one other doctor, so that the patient is unable to take part in decisions about medical care and treatment, the directives in relation to medical care and treatment can decide on the following options:
(i) to continue to receive such life-sustaining treatment(s) as recommended by the doctor, including but not limited to: cardiopulmonary resuscitation, artificial ventilation, blood products, pacemakers, vasopressors, specialised treatments for particular conditions such as chemotherapy or dialysis, antibiotics;
(ii) NOT be given the following life-sustaining treatment(s): cardiopulmonary resuscitation, artificial ventilation, blood products, pacemakers, vasopressors, specialised treatments for particular conditions such as chemotherapy or dialysis, antibiotics
(iii) Save for basic and palliative care, NOT be given any life-sustaining treatment. Non-artificial nutrition and hydration shall form part of basic care. For the avoidance of doubt, the patient does NOT wish to receive artificial nutrition and hydration for the purposes of basic and palliative care.
(iv) Save for basic and palliative care, NOT be given any life-sustaining treatment. Non-artificial nutrition and hydration shall form part of basic care. However, the patient want to continue to receive artificial nutrition and hydration, if clinically indicated, until death is imminent and inevitable.
end of life,
advance care planning,
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