Resident & Family

Advance Care Planning

Honour every resident’s wishes.

Advance directives, goals of care documentation, palliative care plans with phase tracking, and recorded ACP conversations.

Residential care · Home care

In practice

The work behind advance care planning.

Advance care planning ensures resident wishes are documented, accessible, and respected when critical decisions need to be made. Statura Care’s Advance Care Planning module manages directives, goals of care, palliative plans, and ACP conversations in one place — so the right information is available at the right time.

Advance care planning documents are often paper-based and stored inconsistently, making it difficult to ensure resident wishes are accessible when critical decisions need to be made. In an emergency, staff need instant access to directives — not a search through filing cabinets.

Advance Directive Management

Record and store advance care directives with type, effective date, review date, and document uploads. Expiry monitoring ensures directives are reviewed and renewed on schedule.

Goals of Care Documentation

Document goals of care conversations with the resident, family, and clinical team. Track agreed goals, review dates, and any changes over time.

Palliative Care Plans

Create structured palliative care plans with phase tracking (stable, unstable, deteriorating, terminal). Link to symptom management, comfort measures, and family communication plans.

ACP Conversation Records

Log every ACP conversation with date, participants, topics discussed, decisions made, and next steps. Build a chronological record of the resident’s evolving wishes.

Coverage Reporting

Track ACP coverage across your facility — which residents have current directives, which need review, and which have no ACP documentation at all.

The wider workflow

Where advance care planning connects.

Make assessment, care-plan review and care delivery part of one clinical evaluation. Inspect the underlying record and who can review, approve and act.

A workflow illustration showing the broader operating context.

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Workflow illustration: a tabbed care plan dossier listing goals, interventions, a review point and the delivery record.

Evaluation

What to inspect with your team.

Bring a representative advance care planning scenario and use these questions to guide your demonstration.

Book a demo with this scenario
  • Walk through advance directive management using a representative example.
  • Check the permissions and review steps for goals of care documentation.
  • Inspect the records and outputs available for palliative care plans.

Requirements and responsibilities

The requirements behind the workflow.

Review how these requirements apply to your services and the responsibilities your team retains.

Reference area: Chapter 2

Documented Wishes

Providers must support residents to make and document their advance care wishes.

Accessible Records

Advance care documents must be readily accessible to clinical staff when decisions need to be made.

Regular Review

Advance care plans should be reviewed regularly and when circumstances change.

Questions about advance care planning.

What is advance care planning and why does it matter in aged care?

Advance care planning ensures a resident's wishes about future care are documented, accessible, and respected when critical decisions need to be made — particularly if the resident can no longer communicate. Without it, staff and families face difficult decisions without guidance.

How does the module support palliative care?

Structured palliative care plans include phase tracking (stable, unstable, deteriorating, terminal), symptom management protocols, comfort measures, and family communication plans. Phase changes trigger care plan reviews so clinical responses stay aligned with the resident's condition.

Can families participate in advance care planning?

Yes. Family members can view ACP status through the Family Portal and be included in goals of care conversations. Every conversation is logged with date, participants, topics discussed, decisions made, and next steps to build a chronological record.

See Advance Care Planning in action.

Bring a advance care planning scenario. We’ll walk through the relevant records, review steps and scope for your organisation.