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Current Hepatology Reports

Erschienen in:

15.02.2018 | Management of Cirrhotic Patient (A Cardenas and P Tandon, Section Editors)

Early Integration of Advance Care Planning (ACP) into Cirrhosis Care: Why We Need It

verfasst von: Amanda Brisebois, Puneeta Tandon

Erschienen in: Current Hepatology Reports | Ausgabe 1/2018

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Abstract

Purpose of Review

Patients with cirrhosis are largely unaware of the disease trajectory. This review emphasizes the importance of early advance care planning (ACP) and provides practitioners with a framework to apply these concepts.

Recent Findings

Literature is arising describing the importance of ACP and application of palliative principles (symptom management, quality of life, social, spiritual, and emotional care) in cirrhosis care. Understanding illness trajectories can promote symptom control, promote appropriate location of care, and ease care transitions. Our group of practitioners has spent time reviewing literature on ACP and has published tools to educate patients, surrogates, and health practitioners regarding the importance of these principles. In addition, work is ongoing to integrate this very important aspect of care into the daily practice of practitioners who managed end-stage-liver disease.

Summary

Early ACP and integration of palliative principles into cirrhosis care is critical. Provided is an action plan for implementing early ACP into end-stage liver disease (ESLD) care.

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Titel: Early Integration of Advance Care Planning (ACP) into Cirrhosis Care: Why We Need It
verfasst von: Amanda Brisebois
Puneeta Tandon
Publikationsdatum: 15.02.2018
Verlag: Springer US
Erschienen in: Current Hepatology Reports / Ausgabe 1/2018
Elektronische ISSN: 2195-9595
DOI: https://doi.org/10.1007/s11901-018-0391-0

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Early Integration of Advance Care Planning (ACP) into Cirrhosis Care: Why We Need It

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