MJA
MJA InSight
MJA Careers
Perspectives

Failing to plan is planning to fail: advance care directives and the Aboriginal people of the Top End

Eswaran Waran, Sharon Wallace and Jonathan Dodson-Jauncey
Med J Aust 2017; 206 (9): 377.
doi:
10.5694/mja16.00843

Advance care directives can enable Aboriginal people to fulfil their end-of-life wishes to die in their community

The United Kingdom’s great wartime Prime Minister, Sir Winston Churchill, once said “he who fails to plan is planning to fail”. These prescient words resonate for advanced care planning and end-of-life decision making.

Eswaran Waran1
Sharon Wallace2
Jonathan Dodson-Jauncey3
1 Royal Darwin Hospital, Darwin, NT
2 Aboriginal Medical Services Alliance Northern Territory, Darwin, NT
3 Territory Palliative Care, Northern Territory Department of Health, Darwin, NT
Article References: 
Reference Text: 
Northern Territory Government. Advance Personal Planning Act 2013 (No. 35 of 2013). http://www.austlii.edu.au/au/legis/nt/num_act/appa201335o2013281 (accessed Mar 2017).
Reference Order: 
1
PubMed ID: 
Reference Text: 
Sinclair C, Williams G, Knight A, Auret K. A public health approach to promoting advance care planning to Aboriginal people in regional communities. Aust J Rural Health 2014; 22: 23-28.
Reference Order: 
2
PubMed ID: 
Reference Text: 
McGrath P. ‘I don’t want to be in that big city; this is my country here’: research findings on Aboriginal peoples’ preference to die at home. Aust J Rural Health 2007; 15: 264-268.
Reference Order: 
3
PubMed ID: 
Reference Text: 
Sajiv C. Cultural considerations when providing care to Aboriginal and Torres Strait Islanders (ATSI) opting for conservative care. Nephrology 2013; doi: 10.1111/nep.12080 [Epub ahead of print].
Reference Order: 
4
PubMed ID: 
Reference Text: 
Kelly L, Minty A. End-of-life issues for aboriginal patients: a literature review. Can Fam Physician 2007; 53: 1459-1465.
Reference Order: 
5
PubMed ID: 
Reference Text: 
SA Health. Advance care yarning. Respecting patient choices: advance care planning. Melbourne: Austin Health, 2010. http://www.pallcare.asn.au/upload/info-resources/aboriginal-palliative-care-resources/Advance_Care_Yarning_ATSI_SA.pdf (accessed Mar 2017).
Reference Order: 
6
PubMed ID: 

The full contents of this page are only available to subscribers.