From: Underlying goals of advance care planning (ACP): a qualitative analysis of the literature
Underlying goal | Objections |
---|---|
Respecting individual patient autonomy | Promises more control than is possible; ignores current interests of the patient; denies that decision making is engaged and emotional |
Improving quality of care | Risk of ACP to be regarded as moral imperative |
Strengthening relationships | Shifts focus away from the patient; risk that children take over too early |
Preparing for end-of-life | Risk of ACP to be regarded as panacea |
Reducing overtreatment | Pressure to refuse treatment; distrust of the health care system; against nature |