Advance care planning at transitions in care: Challenges opportunities and benefits

Research output: Contribution to journalShort surveypeer-review

4 Scopus citations


Key moments in the life of a LTC resident provide opportunities to fully address advance care planning. Care transitions, for instance, from one site of care to another, or to a lower functional status, often signify key moments. At these times of transition, it is important to review what the patient understands, how the transition has affected his/her goals of therapy, and update the care plan and advance directive accordingly. One of the most useful tasks is to prepare and to pre-plan for any conversation or family meeting. Advance care planning as a part of the resident s overall plan of care needs to be based on a combination of medical and quality-of-life goals. A helpful approach could be to incorporate advance care planning into the overall care planning process and utilize a family meeting structure.

Original languageEnglish (US)
Pages (from-to)26-29
Number of pages4
JournalAnnals of Long-Term Care
Issue number4
StatePublished - Apr 1 2010

All Science Journal Classification (ASJC) codes

  • Gerontology
  • Geriatrics and Gerontology


Dive into the research topics of 'Advance care planning at transitions in care: Challenges opportunities and benefits'. Together they form a unique fingerprint.

Cite this