Patients - Gundersen Health System

Elements of PC-ACP Intervention
• An in-depth structured interview with patient
and surrogate in outpatient setting
• Exploration of dyad's understanding,
experiences, and goals for living well
• Use of active communication techniques to
engage dyad
• Use of decision-aide tool (Statement of
Treatment Preferences) to assist in clarifying
goals for life-sustaining treatment
• Delivered by trained facilitator