Advanced Care Planning for the Orthopaedic Patient.

J Bone Joint Surg Am · Jan 15 2025 · Review

Segal KR, Piana LE, Mujahid N, Mikolasko B, Kuris EO, Daniels AH, et al.

Department of Orthopaedic Surgery, Warren Alpert Medical School, Brown University, Rhode Island

Orthopaedic Trauma

SUMMARY — THE REDUCTIONDiscusses how orthopaedic surgeons, who often encounter patients during sentinel health declines like hip fractures, should engage more in underutilized advanced care planning discussions.
Abstract, as published

➢ Advanced care planning most commonly refers to the act of planning and preparing for decisions with regard to end-of-life care and/or serious illness based on a patient's personal values, life goals, and preferences.➢ Over time, advanced care planning and its formalization through advanced directives have demonstrated substantial benefits to patients, their families and caregivers, and the larger health-care system.➢ Despite these benefits, advanced care planning and advanced directives remain underutilized.➢ Orthopaedic surgeons interact with patients during sentinel events, such as fragility hip fractures, that indicate a decline in the overall health trajectory.➢ Orthopaedic surgeons must familiarize themselves with the concepts and medicolegal aspects of advanced care planning so that care can be optimized for patients during sentinel health events.

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