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Advance care planning (ACP) for medical decision-making at the end of life has developed around the expectation of death from long-term, progressive chronic illnesses. We reexamine advance care planning in light of the increased probability of death from COVID-19, an exemplar of death that occurs relatively quickly after disease onset. We draw several conclusions about ACP in the context of infectious diseases: interpersonal and sociostructural barriers to ACP are high; ACP is not well-oriented toward decision-making for treatment of an acute illness; and the U.S. health care system is not well positioned to fulfill patients\' end of life preferences in a pandemic. Passing the peak of the crisis will reduce, but not eliminate, these problems.
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10.1080/08959420.2020.1824540
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Journal_of_aging_&_social_policy
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Rethinking the Role of Advance Care Planning in the Context of Infectious Disease.
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