Advance Care Planning (ACP)

 

Advance Care Planning (ACP) is a voluntary process of discussion on future care preferences between an individual, his or her family and healthcare providers.

ACP describes the type of care the person would prefer, if he or she is to become very sick and unable to make health care decisions in the future. 

The ACP process guides physicians, patients and their loved ones in making decisions based on the patient's values, beliefs, wishes and personal goals of care.

Background of ACP @ TTSH

In 2009, training in ACP to a pool of healthcare staff was provided by the Respecting Choices Faculty from the Gundersen Health System, USA, upon the invitation of the National Healthcare Group. Pilot efforts commenced with patients from the departments of CardiologyRespiratory & Critical Care Medicine (RCCM) and Neurology.

The TTSH ACP project team was formed in 2012 to spearhead efforts in extending ACP across various teams in TTSH. The project team has provided facilitator training to representatives from more than 12 pilot teams. These facilitators hold discussions which help patients and families prepare patients’ future healthcare plans based on patients’ personal beliefs and values before crises arise.

In addition, the ACP project team conducts various activities to raise the awareness of ACP in collaboration with the pilot teams.  

What does ACP include?

It includes:

  • Sharing your personal values, beliefs and goals for care with your loved ones and healthcare providers.
  • Exploring your healthcare preferences in difficult medical situations, which could include circumstances at the end-of-life.
  • Appointing a Nominated Healthcare Spokesperson (NHS) to represent your voice and make your preferred medical decision should you be unable to speak for yourself one day.

 

For more information, please contact us at acp@ttsh.com.sg or 6359 6410.