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There are many tools available to support advance care planning and shared goals of care.

They can support you to:

  • identify people who would benefit
  • prepare yourself to talk to people and their whānau (do your own advance care plan, explore your biases, ensure you have the skills and confidence, understand the legal framework for medical decision-making and read the person’s notes and talk to other members of the person’s health care team)
  • prepare people and their whānau for the conversations
  • talk to people and their whānau
  • support the person and their whānau to capture the key information in their advance care plan
  • document conversations and plans in the clinical record including documenting shared goals of care for people in hospital, aged residential or long-term care
  • promote advance care planning in your community, your practice or clinical area and in your team or organisation.

Related resources

Link:  Level 1 advance care planning online learning

Resource:  Advance care planning training manual

Link:  Advance care planning: A guide for the New Zealand health care workforce

Resource:  Conversation starters

Resource:  Learning and education modules on understanding bias in health care

Resource:  My advance care plan and guide 

Link:  Order ACP resources

Page:  Serious illness conversation guide

Page:  Serious illness conversations: Reference guide for health care professionals

Resource:  The hui process: A framework to enhance the doctor-patient relationship with Māori

Resource:  Serious illness conversation patient letter example

Resource:  Serious illness conversation guide online learning

Page:  Shared goals of care forms and factsheets

Resource:  Shared goals of care principles for health service providers

Last updated: 1st December, 2021