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It is difficult to predict what the future would be. However, you can prepare by letting your loved ones know about your care preferences, and what matters to you most. This will make it easier for them to make health care decisions for you in the future.

  • When the time comes to make important end-of-life decisions, many people are incapable of participating in those decisions
  • It is difficult for family members and the healthcare team to predict what type of care you would have preferred or chosen
  • You can ease their burden by voicing your preferences now

ACP is suitable for everyone, regardless of age or state of health. It is important because it helps you to explore and understand your values, beliefs, healthcare experience, and current state of health as well as future healthcare preferences. ACP is also pertinent for people with early diagnosis of medical condition, chronic diseases or potentially life-limiting illness.

Inform the attending doctor that you are interested in ACP and he/she will refer you to a trained ACP facilitator. Alternatively, you may contact the TTSH ACP team at 6359 6411 / 6359 6410 or email to book an Advance Care Planning appointment with a trained ACP facilitator.

Prior to the ACP appointment, we encourage you to go through the ACP Conversation Starter available here.

A NHS is someone who understands you and respects your wishes. The role of an NHS is to represent your views and preferences in the event that you lose mental capacity to make decisions.

You will be given a duplicate copy of the ACP form and are encouraged to update your loved ones, NHS, and doctor about your ACP preferences. Your ACP preferences will also be updated in the National ACP IT system linked to NEHR (National Electronic Health Record).

The ACP form can be reviewed and updated any time when you verbalise changes in your wishes and preferences, invalidating the previous ACP form. You may also revoke your ACP any time. This is because ACP is an ongoing process that should be reviewed regularly especially when your medical condition or life situation changes.

An Advance Medical Directive (AMD) is a legal document to inform the doctor that you do not want the use of any life-sustaining treatment to prolong your life in the event you become terminally ill and unconscious and when death is imminent.

An Advance Care Planning (ACP) is an approach to communication regarding future healthcare wishes reflecting not just specific refusal of treatment in certain circumstances but encompassing a person’s illness representation, values and wishes guiding care as well as choice of Nominated Healthcare Spokesperson (NHS).

Anyone can make an ACP as well as an AMD.

A Lasting Power of Attorney (LPA) is a legal document provided for under the Mental Capacity Act where an individual who is at least 21 years of age, voluntarily appoints one or more persons (donees) sto make decisions and act on his behalf should he lose capacity in the future to make his own decisions. A donee should be someone you trust who is reliable and competent to act on your behalf. Donees are appointed to act in the two broad areas of personal welfare and property affairs and matters.

Both ACP and LPA are important planning instruments which all individuals are encouraged to make. Ideally, the donee for healthcare decision under the LPA and nominated healthcare spokesperson in the ACP process should be the same person.

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