eFit – HCP: Advance Care Planning

Advance Care Planning (ACP) is a process whereby a capable (mentally competent) adult engages in a plan for making personal health care decisions in the event that they becomes incapable (legally incompetent to personally direct) his or her own health care. (1) ACP is about conversations and wishes. It is a process of reflection and communication involving discussions with family and friends, especially with a Substitute Decision Maker (SDM). (2)

Use of written wishes can be risky, but many people rely on writing their wishes down. Written wishes can become obsolete, misused or misinterpreted as a decision. Wishes may be vague in language and may not speak to a specific situation that occurs.

Wishes can change, especially if a person’s health condition changes. It is not always possible to anticipate a course of illness or articulate what the person wants or doesn’t want in a particular situation. For example, new treatment(s) may become available; therefore reviewing wishes is an important part of the ongoing process. (3)

Edmonton Symptom Assessment System Revised (ESAS-R) Assessment:
Instructions    Link

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Reading List: Advanced Care Planning & End of Life Considerations

Advance Care Planning and Health Care Consent for Health Service Providers (Hospice Palliative Care Ontario):
Resource Website
Advance Care Planning for Men with Prostate Cancer, their Families and Caregivers (Canadian Cancer Society):
Recorded Webinar

Please check back to this page for upcoming developments in our online learning for Health Care Professionals on this topic.

View CSAH Courses for HCP: Caring for the Older Adult

This series of courses provides a foundation for understanding, recognizing, assessing and managing health care concerns in the older adult.  Each Lesson includes short narrated modules that focus on these four themes.

View HCP Continuous Learning

We share aging-related courses and archived content offered by other leaders in the field of geriatric care.