Commissioned by The Hong Kong Society for Rehabilitation to create a handbook about advance care planning (ACP) for mentally incompetent adults. ACP is a process of planning for healthcare and personal care needs. Patients can express preferences for future medical or personal care, or make an advance directive (AD) refusing life-sustaining treatment (LST). In the Hospital Authority, ACP extends beyond communication with mentally competent adult patients to include that with family members of the mentally incompetent and minor patients. Decision- making regarding the patient’s future medical or personal care should be by consensus building among members of the healthcare team and with the patient’s family, based on the best interests of the patient.

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