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.
    • 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

Template:Discussion is this east info to get at admission?--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"

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