Facilitating extrinsic motivation and autonomous support in advanced care planning: A case study

ABSTRACT

Advanced care planning (ACP) is one area in which the importance of self-determination is highlighted during palliative care. Each client in end-of-life care can either resist, partially adopt, or deeply internalize values, goals, or belief systems. Two cases of extrinsic regulation, namely, identification, and introjection, which social workers can encounter in hospice care are described. The significant roles for social workers in facilitating autonomous support in ACP are discussed.

KEYWORDS:

• Advanced care planning
• hospice
• healthcare proxy
• self-determination theory