Using illness trajectories to inform person-centred, advance care planning

Scott Murray; Kirsty Boyd; Sebastien Moine; Marilyn Kendall; Stella Macpherson; Geoffrey K. Mitchell; Jordi Amblàs-Novellas

doi:10.1136/bmj-2021-067896

Using illness trajectories to inform person-centred, advance care planning

Scott Murray^*, Kirsty Boyd, Sebastien Moine, Marilyn Kendall, Stella Macpherson, Geoffrey K. Mitchell, Jordi Amblàs-Novellas

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

What you need to know

- Most patients with progressive illness follow characteristic trajectories of decline, previously identified as rapid, intermittent, or a gradual decline from a low baseline

- Multimorbidity is increasingly common and follows a distinct fourth trajectory

- An understanding of the dynamic multidimensional trajectories of patients with progressive illnesses helps clinicians consider individual holistic needs and have meaningful conversations with patients and families about advance care planning

- In patients with an acute deterioration in health (such as from an infection), considering the main underlying illness trajectory helps guide shared decision making about realistic current and future treatment and care options

Original language	English
Article number	e067896
Journal	British Medical Journal (BMJ)
Volume	384
DOIs	https://doi.org/10.1136/bmj-2021-067896
Publication status	Published - 1 Mar 2024

Keywords / Materials (for Non-textual outputs)

illness trajectories
advance care planning
palliative care
general practice
multimorbidity

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10.1136/bmj-2021-067896Licence: All Rights Reserved

Using illness trajectories_MURRAY_DOA15122023_AAMAccepted author manuscript, 513 KBLicence: Creative Commons: Attribution (CC-BY)

Cite this

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abstract = "What you need to know- Most patients with progressive illness follow characteristic trajectories of decline, previously identified as rapid, intermittent, or a gradual decline from a low baseline- Multimorbidity is increasingly common and follows a distinct fourth trajectory- An understanding of the dynamic multidimensional trajectories of patients with progressive illnesses helps clinicians consider individual holistic needs and have meaningful conversations with patients and families about advance care planning- In patients with an acute deterioration in health (such as from an infection), considering the main underlying illness trajectory helps guide shared decision making about realistic current and future treatment and care options",

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AU - Boyd, Kirsty

AU - Moine, Sebastien

AU - Kendall, Marilyn

AU - Macpherson, Stella

AU - Mitchell, Geoffrey K.

AU - Amblàs-Novellas, Jordi

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AB - What you need to know- Most patients with progressive illness follow characteristic trajectories of decline, previously identified as rapid, intermittent, or a gradual decline from a low baseline- Multimorbidity is increasingly common and follows a distinct fourth trajectory- An understanding of the dynamic multidimensional trajectories of patients with progressive illnesses helps clinicians consider individual holistic needs and have meaningful conversations with patients and families about advance care planning- In patients with an acute deterioration in health (such as from an infection), considering the main underlying illness trajectory helps guide shared decision making about realistic current and future treatment and care options

KW - illness trajectories

KW - advance care planning

KW - palliative care

KW - general practice

KW - multimorbidity

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DO - 10.1136/bmj-2021-067896

M3 - Article

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JO - British Medical Journal (BMJ)

JF - British Medical Journal (BMJ)

M1 - e067896

ER -

Using illness trajectories to inform person-centred, advance care planning

Abstract

Keywords / Materials (for Non-textual outputs)

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