Library resource guides: Perioperative medicine training resources: U2M13: Advanced care planning

Guide index

Discusses some of the philosophical, legal, cultural and practical aspects of advance care planning.

Articles

Lin I, Green C, Bessarab D. 'Yarn with me': applying clinical yarning to improve clinician-patient communication in Aboriginal health care. Aust J Prim Health. 2016;22(5):377-382.
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Abstract
Although successful communication is at the heart of the clinical consultation, communication between Aboriginal patients and practitioners such as doctors, nurses and allied health professionals, continues to be problematic and is arguably the biggest barrier to the delivery of successful health care to Aboriginal people. This paper presents an overarching framework for practitioners to help them reorientate their communication with Aboriginal patients using 'clinical yarning'. Clinical yarning is a patient-centred approach that marries Aboriginal cultural communication preferences with biomedical understandings of health and disease. Clinical yarning consists of three interrelated areas: the social yarn, in which the practitioner aims to find common ground and develop the interpersonal relationship; the diagnostic yarn, in which the practitioner facilitates the patient's health story while interpreting it through a biomedical or scientific lens; and the management yarn, that employs stories and metaphors as tools for patients to help them understand a health issue so a collaborative management approach can be adopted. There is cultural and research evidence that supports this approach. Clinical yarning has the potential to improve outcomes for patients and practitioners.

Websites

Advance care Planning Australia. Advance care planning explained.
Advance care planning involves planning for your future health care. It enables you to make some decisions now about the health care you would or would not like to receive if you were to become seriously ill and unable to communicate your preferences or make treatment decisions.
Advance Care Planning Australia. Advance care planning for Aboriginal and Torres Strait Islander peoples.
Support Aboriginal and Torres Strait Islander people to receive culturally sensitive care through advance care planning.
Advance Care Planning Australia. Create your plan.
Learn about advance care planning documents in your state or territory
Advance Care Planning Australia. Health professionals: roles and responsibilities.
How to support your patient's future health care preferences.
Advance Care Planning Australia. Starting the conversation.
Starting the conversation about advance care planning is an important first step in ensuring a person's preferences for future care are known and respected.
CareSearch. Diverse populations.
Here you can learn more about some of the diverse populations in Australia and why palliative care matters for them.
Faculty of Health, QUT. Cultural Safety
Cultural safety is a concept that emerged in the late 1980s as a framework for the delivery of more appropriate health services for the Maori people in New Zealand. More recently it has become recognised that the concept is useful in all health care settings - not just those involving Indigenous peoples,
End of Life Directions for Aged Care (ELDAC). Palliative Care in Diverse Populations.
Palliative care aims to provide holistic, person-centred care that supports the spiritual, cultural, emotional, social, psychological and physical needs of the patient, their family and carers. These fundamental principles require palliative care to be provided in a culturally safe, collaborative and responsive manner.
Healthify He Puna Waiora. Cultural safety & cultural competence for healthcare providers..
Cultural safety focuses on the patient. It provides space for patients to be involved in decision making about their own care and contribute to the achievement of positive health outcomes and experiences.
Medical Council of New Zealand | Te Kaunihera Rata o Aotearoa. Cultural Safety
Council requires doctors to meet cultural safety standards. Cultural safety focuses on the patient and provides space for patients to be involved in decision-making about their own care, and contribute to the achievement of positive health outcomes and experiences.
MyValues website.
MyValues is a set of specially constructed statements designed to help you identify, consider and communicate your wishes about the medical treatment you would want in the later stages of life
QUT End of Life Law in Australia. State and Territory laws.
For information about the laws relating to statutory Advance Care Directives in each Australian jurisdiction, visit the State and Territory webpages provided on this page.
QUT End of Life Law in Australia.
An Advance Care Directive is an instruction that a person makes now about their future medical treatment or health care in the event he or she loses capacity to make decisions. This webpage explores the law relating to Advance Care Directives, including common law Advance Care Directives, and statutory Advance Care Directives.
SMS Toolkit. Cultural Safety.
Cultural safety focuses on the patient. It provides space for patients to be involved in decision making about their own care and contribute to the achievement of positive health outcomes and experiences.

Other resources

Australian Centre for Health Law Research, QUT and Advance Care Planning Australia. How to do advance care planning: a quick guide for health professionals. 2021.
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Advance care planning should be a routine part of clinical practice, but it can be challenging to know where to start. This quick guide for health professionals identifies resources to assist you to support the people you care for to plan for their future health care.

Recommended texts

Advance Care Planning: A Guide for the New Zealand Health Care Workforce by Ministry of Health (NZ) This document, Advance Care Planning: A guide for the New Zealand health care workforce, was prepared in response to an increasing sector focus on the need for clear and accurate information and guidance regarding ACP in the New Zealand context. The intended audience encompasses providers, funders and planners in all areas of health care. The document is not aimed at the general public. The document provides standardised information about ACP principles and legislation in New Zealand and aims to promote consistency in practice. It will assist in the development of local policies, guidelines and education and training programmes in ACP. Well-implemented ACP policies and pathways will ensure that the treatment and care of each individual are aligned with their personal preferences, values and beliefs. It is also acknowledged that greater use of ACP will assist the community to recognise the limits of modern medicine and the roles that palliative care and ACP have in promoting quality care at the end of life through symptom management, social support, community participation, health and death education, and reducing harm (Kellehear 1999).
ISBN: 9780478373264
Publication Date: 2011

Videos

Discussing Choices - Indigenous Advance Care Plans - A Learning Resource

Additional resources

The following are additional resources that participants may find useful to their studies:

Lin I, Green C, Bessarab D. 'Yarn with me': applying clinical yarning to improve clinician-patient communication in Aboriginal health care. Aust J Prim Health. 2016;22(5):377-382.
more...less...
Abstract
Although successful communication is at the heart of the clinical consultation, communication between Aboriginal patients and practitioners such as doctors, nurses and allied health professionals, continues to be problematic and is arguably the biggest barrier to the delivery of successful health care to Aboriginal people. This paper presents an overarching framework for practitioners to help them reorientate their communication with Aboriginal patients using 'clinical yarning'. Clinical yarning is a patient-centred approach that marries Aboriginal cultural communication preferences with biomedical understandings of health and disease. Clinical yarning consists of three interrelated areas: the social yarn, in which the practitioner aims to find common ground and develop the interpersonal relationship; the diagnostic yarn, in which the practitioner facilitates the patient's health story while interpreting it through a biomedical or scientific lens; and the management yarn, that employs stories and metaphors as tools for patients to help them understand a health issue so a collaborative management approach can be adopted. There is cultural and research evidence that supports this approach. Clinical yarning has the potential to improve outcomes for patients and practitioners.