AN 26 Understand advance care planning

1. Understand the principles of advance care planning

• 1.1 Describe the difference between a daily care or support plan and an advance care plan
• 1.3 Identify the national, local and organisational agreed ways of working for advance care planning
• 1.4 Explain the legal position of an advance care plan
• 1.5 Explain what is meant by mental capacity in relation to advance care planning
• 1.6 Explain what is meant by informed consent in relation to advance care planning

2. Understand the process of advance care planning

• 2.1 Explain when advance care planning may be introduced
• 2.2 Outline who may be involved in the advance care planning process
• 2.3 Describe information an individual may need to enable them to make informed decisions
• 2.4 Explain what is involved in an ‘advance decision to refuse treatment’
• 2.5 Explain what is meant by a ‘do not attempt cardiopulmonary resuscitation’ (DNACPR) order
• 2.6 Explain how the individual’s capacity to discuss advance care planning may influence their role in the process
• 2.7 Explain role of the care worker in the advance care planning process and sources of support available
• 2.8 Describe how personal beliefs and attitudes can affect participation in the advance care planning process
• 2.9 Identify how an advance care plan can change over time
• 2.10 Outline the principles of record keeping in advance care planning
• 2.11 Describe when details of the advance care plan can be shared with others

3. Understand personcentred approaches to advance care planning

• 3.1 Describe factors an individual may consider when creating their advance care plan
• 3.2 Explain the importance of respecting the individual’s values, beliefs and choices
• 3.3 Identify how the needs of others may need to be taken into account when planning advance care
• 3.4 Explain how to support an individual to exercise their right not to create an advance care plan