Abstract
This chapter provides an overview of Advance Care Planning (ACP) within the hospice or specialist palliative care inpatient setting. It examines the breadth of ACP amongst the inpatient population, barriers to ACP in the hospice, triggers for ACP discussions, communication issues, and ACP as death approaches. It shows that the breadth of ACP reflects the heterogeneous population served by hospices and specialist palliative care units. ACP is a continuum and may change over several discussions or occur at unplanned moments. Teams should develop a professional culture which recognizes ACP as an integral part of holistic patient assessment. Communication of ACP wishes between professionals within primary care and inpatient units is essential. Meanwhile, successful ACP requires investment in training, specific communication skills development, and team debriefs.
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