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Alfred Cheung-ming Chan, Alastair Jin-lon Chan & David Dai Lok Kwan



In recent years, the Hong Kong Probate Registry has witnessed remarkable increases in contested guardianships and wills, with a high prevalence of elder abuse and exploitation by family members, friends, caregivers and strangers etc.. A report and a consultation on the use of advance directive by the law commission and Food and Health Bureau was published in 2006 and 2009, respectively to urge for protective legislation including advance directive, but these were later dismissed because of a lack of understanding among the public on advance directive. With emphasis on the needs of persons with dementia, this paper provides a general overview of the use of advance directive in various countries, and scrutinises the necessity of advance directive in Hong Kong, as a crucial part of advance care planning to ensure persons’ self-predetermination of medical treatments are respected.


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