Why is this an Essential Component?
Evidence for inclusion
Discussions about end of life issues and planning for care can be difficult for clinicians to initiate. These discussions are multifaceted and take into consideration a range of goals.
Research on end of life decision-making has identified six major types of patient goals:
- to be cured
- to live longer
- to improve or maintain function and/or quality of life
- to be comfortable
- to achieve life goals
- and to provide support for family and caregivers (Kaldjian et al, 2008).
There is also evidence that advance care planning positively impacts on the quality of end of life care. Complex advance care planning interventions involving multiple conversations and planning tools over time may be more effective in meeting patients’ preferences than written documents alone (Brinkman-Stoppelenburg et al, 2014).
The Agency for Clinical Innovation commissioned CareSearch (Palliative and Supportive Services, Flinders University) to identify local, national and international tools or resources that can potentially be used to implement each of the ten (10) Essential Components of Care within the Blueprint.
To be included, tools and resources were required to be in English, be applicable to the Australian context and be supported by evidence (such as published validation studies, clinical guidelines representing expert consensus, or advice from expert clinicians who were consulted).
The set of tools and resources provided is not intended to be exhaustive, nor is any one tool specifically recommended. Click here for more information on the methodology adopted by CareSearch in identifying these tools and resources.