Conference 2019 ®Evolution

10-12 April 2019

Marlborough Region
New Zealand

Please click on each speakers photo to see their bio.


Carla Arkless NP Palliative Care

Carla Arkless NP Palliative Care

Carla Arkless NP Palliative Care

Carla has been working as a palliative care Nurse Practitioner for 8 years.  She is currently working for Nelson Tasman Hospice, primarily in the rural areas, and previously worked for Presbyterian Support Southland across their aged care facilities.  She has also been a national trainer for the Advance Care Planning (ACP) Training Programme since its inception in 2012.  More recently Carla has also taken up the role of ACP Facilitator for the Nelson Tasman district, with a focus on raising awareness about ACP, and supporting clinicians and the general public to engage in ACP in all settings.   


Title:  Advance Care Planning, Advance Directives, Ceiling of Care, Goals of Care, Resuscitation Orders – making it all make sense

Advance Care Planning (ACP) has been formally recognised in New Zealand since 2010 (Ministry of Health, 2011).  In the last 8 years, there has been significant activity and development in the ACP space including online and face to face training, the development of resources for both patients and healthcare professionals (HQSC, 2018), and many DHBs now have dedicated funding and resources specifically for ACP implementation.  So, most healthcare professionals now know what ACP is, and ACP conversations are an integral part of everyday practice for many clinicians.

However, what does ACP really mean on the “frontline” when decisions need to be made?  What is the difference between ACP and resuscitation decisions?  What about what’s medically appropriate – how much say do clinicians really have when a person has an ACP or an Advance Directive? What are our legal obligations? 

And which form do I fill in again…?

This presentation will address these and other issues, linking the various aspects of Advance Care Planning to promote truly person-centred care, in a way that makes sense not only to the patients and family/whānau, but to the healthcare team. 



Health Quality and Safety Commission. 2018. Wellington: HQSC.

Ministry of Health. 2011.  Advance Care Planning: A Guide for the New Zealand Healthcare Workforce.  Wellington: Ministry of Health.


Areas of Interest