On April 1st, 2019,  Dr. Chris Frank provided this in-person/webinar presentation as he discussed communication strategies for having difficult conversations such as advance care planning, goals of care and end of life.  Learning objectives included understanding the difference between Advance Care Planning (ACP), goals of care and consent; how to incorporate ACP and goals of care discussions into regular outpatient care; using the principles to make CPR discussions easier for patients and you and incorporate Harvard Serious Illness Communication guide and other resources into your discussions. Watch the recording here.  Additional resources can be accessed by clicking read more.

Highlights of this issue include a reading list on "Having Difficult Conversations with Older Adults” as well as updates from AGE-WELL, Baycrest, Brainxchange, Bruyere, Canadian Centre for Activity and Aging, Centre for Studies in Aging and Health, Institute for Life Course & Aging, National Institute on Ageing, Ontario Age-Friendly Communities Outreach Program, Ontario Centres for Learning, Research & Innovation in Long-Term Care, Ontario Community Support Association, Ontario Neurotrauma Foundation, Ontario Osteoporosis Strategy and SE Research Centre.

Information about funding opportunities and calls for abstracts from the Canadian Association on Gerontology and Social Sciences and Humanities Research Council are included.  A number of upcoming events and educational opportunities are listed. Sign up to receive Linkages directly here.

This webpage features health promotion resources to support your ACP day campaign in Ontario.  Bilingual resources include social media messages, the newly revised Ontario HCC ACP workbook, posters and videos.  Additional print resources are available to order online. 

This billingual article describes the findings of a cross-sectional, self-administered survey of Canadian family physicians and other health professionals investigating perceived barriers and enablers of advance care planning (ACP) in the primary care setting. 9 pages. Last reviewed March 2019.

The authors aimed to identify opportunities for physicians to engage in ACP discussions and to characterize physician's responses to these opportunities. 7 pages. Last reviewed March 2019.

The authors conducted a systematic review to identify relevant contextual elements, program features, implementation principles, and impacted outcomes to inform policy and practice. 49 pages. Last reviewed March 2019.

The authors explored how discussions about life-sustaining treatment occur and examined the factors which influence physician’s communication strategies with the aim of providing novel insights into how communication can be improved. 15 pages. Last reviewed March 2019.

The authors conducted a narrative review of evidence regarding advance care planning and end-of-life communication. 10 pages. Last reviewed March 2019.

This handout developed for health care professionals  outlines effective conversation flow and samples of patient-tested language. 1 page. Last reviewed March 2019.

This article provides an overview of differing definitions and legislation used related to advance care planning and goals of care across Canada.  The authors aim to provide ideas on facilitating discussions and highlight opportunities to start these conversations with patients and substitute decision makers. 9 pages. Last reviewed March 2019.

Pages