Personal Details:
John Smith, born on 15 March 1950, is a 74-year-old male of British descent.
Capacity and Consent:
John has demonstrated full decision-making capacity and has consented to engage in advance care planning discussions.
Understanding of Health Status:
John understands his diagnosis of advanced chronic obstructive pulmonary disease (COPD) and acknowledges the progressive nature of his condition. He is aware of the potential need for increased medical support in the future.
Personal Values and Beliefs:
John values maintaining his independence and prioritizes quality of life over life-prolonging measures. He believes in the importance of dignity and comfort in his care.
Goals for Future Care:
John's primary goal is to remain as independent as possible while receiving care that maximizes his comfort and quality of life.
Treatment Preferences:
John prefers not to undergo resuscitation or mechanical ventilation. He is open to palliative care measures to manage symptoms.
Preferred Place of Care:
John wishes to receive care at home for as long as possible and prefers end-of-life care in a hospice setting if necessary.
Substitute Decision-Maker(s):
John has appointed his daughter, Emily Smith, as his substitute decision-maker. She can be contacted at 01234 567890.
Family or Carer Involvement:
John's family, particularly his daughter Emily, is actively involved in his care planning and decision-making process.
Spiritual, Religious or Cultural Considerations:
John identifies as agnostic and has no specific spiritual or religious considerations influencing his care preferences.
Review Plan:
The advance care plan will be reviewed annually or sooner if there is a significant change in John's health status. Emily Smith will initiate the review process.
Clinician Details:
Dr. Thomas Kelly, Psychologist, can be contacted at thomas.kelly@healthcareclinic.com.
Personal Details:
[record full name, date of birth, gender, and relevant cultural or linguistic background if available] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences.)
Capacity and Consent:
[document patient's decision-making capacity, understanding of their condition, and consent for planning discussions] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences.)
Understanding of Health Status:
[describe patient's understanding of their diagnosis, prognosis, and any expectations for future care] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences.)
Personal Values and Beliefs:
[outline key values, beliefs, or guiding principles expressed by the patient that inform their care preferences] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences.)
Goals for Future Care:
[record patient's preferences for treatment outcomes, goals of care, or what is most important to them] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences.)
Treatment Preferences:
[specify preferences regarding life-prolonging treatments such as resuscitation, ventilation, artificial nutrition or hydration] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences.)
Preferred Place of Care:
[note preferences for care setting, including preferred location for treatment or end-of-life care] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences.)
Substitute Decision-Maker(s):
[document legally appointed decision-makers or nominated representatives and their contact details if stated] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences.)
Family or Carer Involvement:
[record discussions involving family, carers or significant others and their role in decision-making] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences.)
Spiritual, Religious or Cultural Considerations:
[include any spiritual, religious or cultural factors important to the patient that influence care preferences] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences.)
Review Plan:
[outline any arrangements for future review of the plan, including who will initiate and when] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences.)
Clinician Details:
[document name, role, and contact information of clinician completing the plan if stated] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in full sentences.)
(Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care - use only the transcript, contextual notes or clinical note as a reference for the information include in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes or clinical note, you must not state the information has not been explicitly mentioned in your output, just leave the relevant placeholder or omit the placeholder completely. Use as many lines, paragraphs or bullet points, depending on the format, as needed to capture all the relevant information from the transcript.)
