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Table 4 Underlying goals of ACP and corresponding objections

From: Underlying goals of advance care planning (ACP): a qualitative analysis of the literature

Underlying goalObjections
Respecting individual patient autonomyPromises more control than is possible; ignores current interests of the patient; denies that decision making is engaged and emotional
Improving quality of careRisk of ACP to be regarded as moral imperative
Strengthening relationshipsShifts focus away from the patient; risk that children take over too early
Preparing for end-of-lifeRisk of ACP to be regarded as panacea
Reducing overtreatmentPressure to refuse treatment; distrust of the health care system; against nature