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): WRHA Advanced Care Plan Form

In terms of our program, the concept is related to end of life data.

see also

• WRHA ACP C

Definitions

ACP C Options

Template:Potential Change QI TEAM, Kendiss Olafson etc. have asked if database team could collect ACP status at admission.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.

Data use

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

• is this east info to get at admission?--Trish Ostryzniuk 17:12, 2015 May 29 (CDT)
  • Yes, it easy to obtain this information at the time of admission, it is 9/10 that ACP is established in ER. Do you want us to collect when a change occurs ( often pt come in as a M and 24-72 hrs later, it is changed to APC -C ,or this occurs much later in the admission as well)--PStein 08:23, 2015 June 1 (CDT)

Define "upon admission"

• Would this include up to the first 24 or 48 hours, or would this need to be in place before arrival?

data storage

Template:Discussion Would this be a permanent addition? To tmp? For med and CC?

Cross checks

• required for all pt or only first encounter per admission?