The process of updating the standards of practice is a daunting task. The committee goal was to follow an objective, thorough process that was inclusive of as many practitioners of life care planning as was feasible. By their nature, life care planners must know how to form and express opinions. That skill is very evident through the updating process, and many opinions were sought and were offered. Indeed, over 400 opinions were sent to the committee, and each was thoughtfully reviewed. To ensure that the 4th edition reflected the practitioners, not just the committee members, principles were identified for how work would be conducted.
Karen Preston (2025) studied this question.