End-of-life care can involve complex decisions, and patients’ preferences are particularly important. Advance care planning is a process that enables individuals to define goals and preferences for future medical treatment and care, discuss these with family and healthcare providers, and record and review these preferences if appropriate. However, preferences are not always stable and fixed, especially in complex and changing situations. To further explore this, Robinson and colleagues (2025) conducted a scoping review to answer the question, ‘What is the nature of the current evidence about how and why the end-of-life care preferences of older people change over time?’ Research on preferences has largely overlooked older people’s preferences. To improve end-of-life care, prospective studies should explore how older people construct and negotiate a broader range of preferences over time, guiding patient reviews and care plans. Read more…
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