1236 From Resistance to Readiness: Using Language to Bridge Gaps in Advance Care Planning Conversations

<h3>Aim of the Presentation</h3> This presentation explores the transformative role of language in Advance Care Planning (ACP), focusing on how Neuro-Linguistic Programming (NLP) techniques can reduce emotional resistance, increase readiness, and improve the quality of ACP conversations. By shifting from clinical terminology to emotionally attuned, person-centred language, we can shape safety, connection, and engagement. Attendees will be introduced to an accessible framework that empowers professionals to approach sensitive conversations with greater confidence—helping individuals and families feel heard, supported, and understood in the planning of future care. <h3>Background context</h3> ACP is vital for ensuring a person’s values and preferences are respected, yet these conversations are often avoided or delayed. Barriers include fear of death, emotional discomfort, and uncertainty about how to begin. For professionals, these discussions can feel awkward or too clinical. As a Registered Nurse, coach, and NLP Master Practitioner, I work with individuals and families navigating cancer, chronic illness, and end-of-life experiences. I have found that language and framing are critical in helping people feel emotionally safe, connected, and more willing to engage in ACP. NLP provides practical tools to adapt communication in the moment—building rapport, reframing difficult topics, and making space for emotionally safe, values-based dialogue. <h3>Narrative Summary of Key Content</h3> This session introduces NLP techniques to show how they can be used in real-life ACP conversations. I will share client examples from community and aged care settings, where using NLP-based language shifted conversations from resistance to readiness. For example, changing ‘Do you want CPR?’ to ‘What does living well look like to you if your health changes?’ has helped clients move from fear to clarity. I’ll also demonstrate how narrative prompts and sensory-based language help clients explore legacy, values, and identity—leading to more meaningful and confident decision-making. <h3>Unique Contribution to Advance Care Planning</h3> This presentation offers a novel, low-cost communication model grounded in both clinical and behavioural science. NLP reframes ACP as a personalised, emotionally intelligent process rather than a checklist. Its flexibility makes it suitable across a wide range of care settings, providing professionals with tools to humanise conversations and meet people where they are. <h3>Implications for Policy, Practice, Education, or Research</h3> Integrating NLP-based language strategies into ACP practice and education can enhance both the uptake and quality of planning. This approach supports emotionally intelligent care and has implications for workforce training, communication standards, and public engagement—helping ensure conversations reflect what matters most to individuals.