Do not postpone the start of a shared care planning with the patient, when the evolution of the disease makes it important to understand the expectations and desires of the sick person regarding possible choices at the end of life.

Do not postpone the start of a shared care planning with the patient, when the evolution of the disease makes it important to understand the expectations and desires of the sick person regarding possible choices at the end of life.

Type of practice

Other health practices

Age

Adult, Geriatric, Pediatric

Topic Area

Palliative Care

Shared planning of care is provided for by Law 219/2017 “Rules on Informed Consent and Advance Treatment Provisions”. It allows the sick person, if desired, and the treating physician to align themselves on the goals of care, on futile or disproportionate treatments, on future choices even in the event of the patient’s unconsciousness. In the literature, Shared Care Planning is known as Advance Care Planning.

Sources

1. Legge n.219/2017 “Norme in materia di consenso informato e di Disposizioni Anticipare di Trattamento, available at: https://www.gazzettaufficiale.it/eli/id/2018/1/16/18G00006/sg
2. Rietjens JAC, Sudore RL, Connolly M, van Delden JJ, Drickamer MA, Droger M, van der Heide A, Heyland DK, Houttekier D, Janssen DJA, Orsi L, Payne S, Seymour J, Jox RJ, Korfage IJ; European Association for Palliative Care. Definition and recommendations for advance care planning: an international consensus supported by the European Association for Palliative Care. Lancet Oncol. 2017 Sep;18(9):e543-e551. doi: 10.1016/S1470- 2045(17)30582-X. PMID: 28884703.

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Attention. Please note that these items are provided only for information and are not intended as a substitute for consultation with a clinician. Patients with any specific questions about the items on this list or their individual situation should consult their clinician.