Table 1

Items for inclusion in an advance care plan

Preferred place of death
Appointment of health/welfare power of attorney
Care arrangements if/when dependent
Will and funeral arrangements
Future crisis management: treatment escalation/limitation boundaries in the event of acute deterioration
Do not resuscitate preference
Information about how and when to use palliative treatments (e.g. opioids, benzodiazepines, “Just in case” prescribing)
End-of-life goals: spiritual, relational (“What matters to me?”; the bucket list)