Transitions in Care, Transitions in Life
This symposium will discuss the relationship between appropriate advance care planning and reduced unnecessary hospital readmissions. Using a clinical case study as the basis for the session, attendees will learn how to elicit end-of-life discussions to promote person-centered care, document those conversations, and then respect those decisions. Barriers to good advance care planning and how to overcome them will be discussed. Additionally, current programs which have initiated good advance care planning that resulted in decreased hospital readmissions will be described.