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 journalArticlepeer-review

Abstract / Description of output

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 languageEnglish
Article numbere067896
JournalBritish Medical Journal (BMJ)
Publication statusPublished - 1 Mar 2024

Keywords / Materials (for Non-textual outputs)

  • illness trajectories
  • advance care planning
  • palliative care
  • general practice
  • multimorbidity


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