This guide is intended to outline the information necessary for a health care provider to conduct or facilitate an Advance Care Planning (ACP) conversation with a person and their Substitute Decision Maker. This guide is not intended to be a patient education resource. This guide will provide a brief overview of ACP, introduce a template to guide the conversation and outline a process for integrating ACP conversations into practice.
This document serves as a guide for having Advance Care Planning conversations and to record wishes, values and beliefs. It is NOT consent for treatment. It will be viewed as a representation of a person’s capable thoughts and reflections therefore please use their own words.
This is an executive summary that focuses on the interrelationship between health care consent and advance care planning under Ontario law, and on related misconceptions of health practitioners and health care organizations. At common law and under Ontario legislation, informed consent is required before a health practitioner can provide treatment to a patient. Importantly, where a patient is found incapable, the requirement to obtain informed consent is not abrogated, but instead the informed consent is obtained from communications with substitute decision makers (SDMs).
This tip sheet reviews the requirements for informed consent and the hierachy of Substitute Decision Makers (SDM) listed in the Health Care Consent Act (Ontario). Requirements of SDM as per the HCCA s.20 are outlined.
This tip sheet provides details about the Health Care Consent Act (HCCA) and Advance Care Planning in Ontario. The roles of the health care practitioner, substitute decision maker and patient are outlined. "Best interests" are defined as set out by the HCCA.