Advance care planning can be more complex with adults who have cognitive or communication differences. Understanding concepts of inclusion, competency and a model of shared decision making can be helpful for the clinician in supporting care planning and medical directives that align with the individuals wishes. This talk also explores strategies employed in pediatrics where surrogate decision making and family voice can augment and support the patient in these essential conversation.

Session objectives:

• Review the definition of serious illness and the zone of health that can guide advance care planning with seriously ill young adults with cognitive / communication impairments.
• Discuss issues of inclusion, competency, shared-decision making
• Discuss the serious illness conversation guide – pediatrics and application of this to this population

Presenter: Camara van Breemen, MN, Nurse Practitioner (F), Director, Community Care and Provincial Outreach
Nurse Practitioner Team Lead
Canucks Place Children’s Hospice

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