The 13th World Research Congress of the European Association for Palliative Care

Determining patient capacity was perceived fundamental by UK clinicians, whilst family's wishes took priority by JP clinicians.Both UK and Japan clinicians prefered to engage in withholding treatment discussions comparing to withdrawal.DNAR orders were routinely assessed in the UK, whilst performed only when 'disease worsening' in Japan.Balance between suffering and prolonging life was considered by both countries, albeit with different importance.Individual ICU culture, training in ACP and involvement of palliative care teams seem to influence variation in engagement and implementation of ACP practices in the different units. Conclusions:The context specific values in EoL care, communication and decision-making practices, alongside integration of PC care and ACP education should be considered when initiating ACP interventions for the ICUs in different countries.