Abstract
This chapter describes the care home setting, aspects that have an impact on use of Advanced Care Planning (ACP) in care homes, examples of issues, use of ACP in the GSF Care Homes Training Programme, ACP with dementia patients, and changing the care home culture. ACP discussions are especially important for residents in care homes in order to clarify and implement wishes and preferences for end of life care. Care homes lead the way in their extensive use of ACP discussions. ACP is more routinely used by care home staff than is often recognized, and can be easier to introduce in care homes than in other settings. Key challenges for residents include poor means of communication due to dementia/cognitive impairment or physical deterioration.
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