Content and implementation of advance care plans A retrospective cohort study

Background and objectives The development of advance care plans (Plans) in general practice can be time consuming. End-of-life care should reflect an individual's documented preferences. The aim of this study was to examine the content and implementation of Plans in hospital during end-of-life care. Methods A retrospective cohort study of the hospital medical records of decedents aged >= 75 years was performed to assess Plan content and implementation. Results Of the 536 decedents, 52 had a Plan. There were 17 cases where life-prolonging treatment was given and contradicted preferences listed in the Plan. This included instances of intubation, surgery and curative medication. Discussion General practice staff investment in advance care planning should be reflected in the utilisation of Plans and, where medically indicated, respect for patients' preferences.