Truly comprehensive advanced care planning

Advanced care planning conversations.

Strategic planning for curricular excellence: anesthesia and comprehensive care.

Since Columbia University School of Nursing (CUSON) pioneered the clinical doctorate for nursing in 2004, the healthcare environment has become increasingly complex. At the same time, a number of changes to nursing education, regulation, reimbursement, and practice have been proposed by national nursing and healthcare organizations. In 2004, the American Association of Colleges of Nursing (AACN...

Advanced care planning: policy and real-life decision-making?

Advanced care planning--empowering patients for a peaceful death.

In the early 1900's, Americans had a life expectancy of about 50 years. Childhood mortality was very high and an adult who lived into their sixties was considered to be doing pretty well. Prior to the advent of different types of antibiotics, people would die quickly of infectious disease or accidents and medicine only really focused on caring and comfort. Since then, there has been a shift in ...

Championing truly collaborative team-based care.

As the nation works toward improving health care delivery models, the concept of team-based care has become more pronounced. Thus, defining it is important, as the position paper from the American College of Physicians (ACP) does in this issue (1). That said, the American Association of Nurse Practitioners (AANP) disputes many of the principles that the ACP outlines—first and foremost, the over...