[Regional protocol for adjusting the therapeutic intensity. Southern Metropolitan Area of Barcelona]

Abstract

The identification of patients with advanced and complex chronic diseases, and the fragmentation of care towards the end of life, requires the drawing up a long-term therapeutic plan. This should take into account the values and preferences of the patients, as well as the vital and functional prognosis. Having an adjustment tool for determining the diagnostic and therapeutic effort is helpful in the continuity of care, as well as in decision-making in the transitions and dynamic changes of patients as they approach the end of life process.

Keywords: Advance care planning; Decision-making; Ethics; Intensidad terapéutica; Planificación anticipada de cuidados; Therapeutic intensity; Toma de decisiones; Transiciones; Transitions; Ética.