End of Life Care | Advance care planning | Advance decisions to refuse treatment: in practice

Advance decisions to refuse treatment in practice
Session overview
Description
This session builds on the principles of advance decisions to refuse treatment. It focuses on the practical steps involved in supporting patients requesting the development of an advance decision.

This session was reviewed by Fiona Rawlinson and Sarah Hanrott and last updated in January 2023.

By the end of this session you will be able to:

• describe the steps involved in developing an Advance Decision to Refuse Treatment (ADRT)
• discuss how the sensitive use of communication skills can assist in developing an ADRT
• discuss patients' key information requirements prior to developing an advance statement

Before commencing this session, we suggest you complete the following:

• Introduction to principles of ACP (215-0101)
• Cultural and spiritual considerations in ACP (215-0102)
• Advance decisions to refuse treatment: principles (215-0105)
• Mental Capacity Act: aims and principles (215-0107)
• Mental Capacity Act in practice (215-0108)

Professionals involved in supporting the end-of-life care needs of patients will, from time to time, be required to help patients formulate an advance decision to refuse treatement (ADRT).

This advance statement needs to be developed on established best practice guidance to ensure the statement is valid, appropriate and best serves the interests of the patient.

This session focuses on how to help patients who wish to develop an ADRT. Emphasis is placed on the professional blending the sensitive use of communication skills with current legislation and best practice guidance.

You should work through the following session before continuing with this session:

• Session: Advance decision to refuse treatment: principles (215-0105)