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Advance Care Planning for Geriatric Patients (2022 ...
End of Life Care Fact Sheet 2022
End of Life Care Fact Sheet 2022
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Pdf Summary
The 2022 American Association of Medical Assistants outlines the significance of Advance Care Planning (ACP) for geriatric patients. ACP is an ongoing process that involves learning about potential health decisions, deliberate thinking, and informing family and caregivers about one’s preferences, along with completing necessary documentation. The main objectives include respecting patient autonomy, improving care quality, fostering relationships, preparing for end-of-life, and avoiding overtreatment.<br /><br />Key aspects of ACP encompass managing chronic diseases, end-of-life preparation, aligning healthcare treatments with patient wishes, and easing the decision-making burden on family members. Palliative care is for anyone with serious illness symptoms, while hospice is for terminally ill patients and both can be provided along with curative treatments.<br /><br />Key terms integral to ACP include capacity, competency, health care agent, life-sustaining treatment, surrogate decision-making, and withholding/withdrawing treatment. Important documents include advance directives, Do-not-resuscitate orders, living wills, and various forms such as MOST, POST, MOLST, and POLST.<br /><br />Developing ACP involves several steps:<br />1. **Think**: Understand personal values, wishes, and beliefs.<br />2. **Learn**: Be informed about one's health status.<br />3. **Decide**: Choose a designated decision-maker.<br />4. **Talk**: Discuss values and decisions with decision-makers, family, friends, caregivers, and healthcare providers.<br />5. **Record**: Document decisions in an advance care directive.<br /><br />These conversations should happen during initial evaluations, routine appointments, following serious diagnoses, or as illness progresses. The discussion includes initiating the conversation, clarifying prognosis, and establishing end-of-life goals.<br /><br />Patients often prefer to stay at home during their final days, but alternatives include assisted living, nursing homes, hospice, and hospitals. For coding and documentation, CPT codes 99497 and 99498 cover voluntary advance care planning and additional discussion time, respectively. These codes are crucial for healthcare providers when recording this specialized care.
Keywords
Advance Care Planning
geriatric patients
patient autonomy
end-of-life preparation
chronic diseases
palliative care
hospice care
advance directives
Do-not-resuscitate orders
CPT codes
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