SY24-2 Advance care planning through collaboration between physicians and nurses: Discussions to identify and advocate the intangible value of patients

Abstract

A survey conducted in 2019 at Kyoto University hospital revealed that about 90% of advanced lung cancer patients had thought or tried to think about their goals and preferences for future medical treatment and care, but they were not allowed to have the opportunity to discuss their wish with their health care providers. It is essential that patients receive support for advanced care planning (ACP) from health care professionals at the appropriate time so that they can live their lives with peace of mind and reasonable prospects. However, it has been reported that clinicians, as well as patients and their families, face a variety of barriers when it comes to ACP. In this presentation, strategies for physician-nurse collaboration and tools that can be utilized for end-of-life discussions are discussed to overcome these challenges. The irreplaceable and important values of patients are often invisible to them and drift unnoticed in their daily lives. In the course of ACP discussions with patients with serious illnesses, when patients are supported to reflect on their values, verbalize them and share them with their families and health care providers, they are more likely to find ways to maintain and improve their well-being. The role of the health care provider in placing the intangible value at the forefront will be mentioned.