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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal

In 1988, Cruzan’s parents requested that her feeding tube be removed, arguing that she would not want to continue in this state. On the one hand, this was unfortunate, as it meant Nancy Cruzan could not be disconnected from the feeding tube immediately. And I think that’s where we want to be. ICU care was pretty rudimentary.

Feeding 197
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Can I Include End of Life Care Wishes in My Will?

Seasons Hospice

This document can specify your end-of-life wishes in the event that you become unable to make decisions for yourself. Living wills are legal documents that outline a person’s wishes for end-of-life medical care. What Items Should Be Present In Your Living Will? How Should You Document Your End Of Life Wishes?

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The Language of Serious Illness: A Podcast with Sunita Puri, Bob Arnold, and Jacqueline Kruser

GeriPal

I felt like I was always told to present people with a buffet of options and, really, without guidance, ask them to choose, which is, it would always make me feel sick to my stomach. I think one of the residents you asked how would they broach a subject, and he said wording like, “Unfortunately, he still needs a ventilator.”

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POLST Evidence and Update: Kelly Vranas, Abby Dotson, Karl Steinberg, and Scott Halpern

GeriPal

Certainly SOME of those avoided hospitalizations, CPR, and ICU stays were due to documentation of those orders in the POLST. So just to make that more concrete, Scott and I did a study a couple of years ago as well looking just at OHSU patients who presented to the emergency department with POLST. But yeah, full treatment.

Document 268
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Aging and the ICU: Podcast with Lauren Ferrante and Julien Cobert

GeriPal

And Lauren Ferrante has found in a study published in JAMA Internal Medicine that trajectories of disability in the year prior to ICU admission were highly predictive of disability post-ICU, on the same order of magnitude as mechanical ventilation. He, his Twitter feed though is brilliant. Eric: Yeah. Alex: Yeah. Lauren: Shock.