View source for ACP-C

ACP C stands for Advanced Care Plan.  C = Comfort Care-Goals of Care and interventions are directed at maximal comfort, symptom control and maintenance of quality of life excluding
attempted resuscitation

For more information see: PDF of ACP form used in Region (2013): [[Media:WRHA ACP form Nov 2013.pdf | WRHA Advanced Care Plan Form]]
 
In terms of our program, the concept is related to [[:Category:End-of-life related data | end of life data]].

== see also ==
*[http://www.wrha.mb.ca/professionals/acp/index.php WRHA ACP C]

== Definitions ==
=== ACP C Options ===
{{Potential  Change}}
QI TEAM, Kendiss Olafson etc.  have asked if database team could collect ACP status at admission.[[User:TOstryzniuk|Trish Ostryzniuk]] 17:12, 2015 May 29 (CDT)
*ACP C
*ACP UK (no documented ACP on the chart)
*ACP R
*ACP M+ (no cardiac resuss but accepting intubation)
*ACP M- (no resuss/no intubation)
**(If ACP M is just written with no qualifiers then one would classify as ACP M-.  Since a significant proportion of patient do want intubation but do not want CPR, I do think it is useful to distinguish). Kendiss.
*** could you clarify the above statement? If you are saying that significant proportion of pt want intubation would the status be marked as ACP M+ and not ACP M- as indicated above?
Collecting ACP status at admission and discharge would allow us to follow:
*-% of patient with documented ACP during ICU
*-Level of care at both admission and discharge
*-% of patients with change in level of care during ICU
*-Level of care at the time of ICU death

==question for collectors==
{{Discussion}}
is this east info to get at admission?--[[User:TOstryzniuk|Trish Ostryzniuk]] 17:12, 2015 May 29 (CDT)
*
*I agree with Pat's comment. The pt would come in as ACP R & the status would be changed once discussion with family or pt took place.  This usually happens 24-48 hours after admission or much later in the admission if pt status changes or the family cannot agree on the treatment plan. Judy K, jun 4, 2015
=== Define "upon admission" ===
{{Discussion}}
*Would this include up to the first 24 or 48 hours, or would this need to be in place before arrival?

[[Category: Take to Task team meeting]]
[[Category: End-of-life related data]]