Abstract
Seventy-six million baby boomers are poised to move into the ranks of the elderly and frail elderly in the next 20 to 30 years. The health care system will be challenged to provide appropriate and reasonable care at the end of life to a generation that has experienced unprecedented medical breakthroughs aimed at preserving and prolonging life. Advance care planning—thoughtful conversations between patients, families, and health care providers—will be key in ensuring that patients receive the care they want and the care that is most appropriate for them. To foster the best care, advance care planning must evolve from a document-based system of health care directives focused on specific treatment choices to an ongoing dialogue with the patient and family about health care outcomes. The baby boom generation will ask for and expect a holistic approach that takes into consideration not only treatment options but financial concerns and family needs.
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