Recommendation 3. Advance care planning (ACP) ACP is one or preferably several conversations where the patient, the multidisciplinary team and the informal caregiver discuss realistic treatment goals and the patient’s perceptions of living with the disease. Communication is the key in active management of patients with chronic lung failure. All patients with chronic lung failure should be offered ACP conversations once a year. ACP topics should focus on the patient’s needs and wishes and should never develop into a checklist.