Advance Care Planning in the Outpatient Geriatric Medicine Setting

Bryan David Struck; Elizabeth Aubrey Brown; Stefani Madison

doi:10.1016/j.pop.2017.04.008

Advance Care Planning in the Outpatient Geriatric Medicine Setting

Prim Care. 2017 Sep;44(3):511-518. doi: 10.1016/j.pop.2017.04.008.

Authors

Bryan David Struck¹, Elizabeth Aubrey Brown², Stefani Madison³

Affiliations

¹ Hospice and Palliative Care Medicine, Oklahoma City VA Medical Center, 921 NE 13th 11G, Oklahoma City, OK 73104, USA; Reynolds Department of Geriatric Medicine, University of Oklahoma Health Sciences Center, 1122 NE 13th ORB 1200, Oklahoma City, OK 73117, USA. Electronic address: Bryan.struck@VA.gov.
² Reynolds Department of Geriatric Medicine, University of Oklahoma Health Sciences Center, 1122 NE 13th ORB 1200, Oklahoma City, OK 73117, USA; Oklahoma City VA Medical Center, 921 NE 13th 11G, Oklahoma City, OK 73104, USA.
³ Denver Health, Davis Pavilion (Pavilion E) 700, Delaware Street, Denver, CO 80204, USA.

PMID: 28797376
DOI: 10.1016/j.pop.2017.04.008

Abstract

This article describes how to perform advance care planning in the outpatient geriatric medicine setting. The article defines advance care planning and discusses components of advance care planning, such as advance directives, do-not-resuscitate orders, and Physician Orders for Life-Sustaining Treatment. The article describes how to document advance care planning discussions in the clinic and bill Medicare and ways for clinicians to improve their skill at leading these conversations.

Keywords: Advance care planning; Advance directive; Geriatric medicine clinic; POLST.

Published by Elsevier Inc.

Publication types

Review

MeSH terms

Advance Care Planning*
Advance Directives
Aged
Ambulatory Care*
Health Services for the Aged*
Humans
Medicare
Resuscitation Orders
United States