End-of-life care in need of update

With medical treatment constantly evolving, an advance care plan can be too fixed in time for health professionals put on the spot

An advance care plan is assuming greater importance given Singapore's ageing population. PHOTO: ST FILE
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An elderly man with a blood malignancy recently came under our care. He had declined all treatments and had documented his wishes in an advance care plan (ACP). Such planning offers people the opportunity to plan their future care and support, including medical treatment, while they have the capacity to do so.

His planning also included a do-not-resuscitate (DNR) order. He was still well, until an abrupt admission for breathlessness.

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