Advance Care Planning Conversations

Goals-of-care conversations should be a regular part of a nurse practitioner's practice. These conversations are critical to understand what types of treatments patients want at the end of life. There has been significant policy development over the last 50 years related to advance care planning, including current reimbursement for these conversations. In this report I discuss advance care planning in the context of policy development, current reimbursement requirements, barriers for patients and providers, and resources for skill development.