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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. You’ve had three documented conversations to “clarify code status.” And I described a code that I led as a senior resident.

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Involving the inner circle: Emily Largent, Anne Rohlfing, Lynn Flint & Anne Kelly

GeriPal

Emily and colleagues have argued for a wider view of consent that continues to involve patients whose consent may fall in the gray zone – able to express some goals and values, hopes and fears – but not able to think through the complexities of a major decision. Anne Rohlfing: I think that is a positive aspect. Eric: Yeah.

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Advance Care Planning Discussion: Susan Hickman, Sean Morrison, Rebecca Sudore, and Bob Arnold

GeriPal

Alex: Also returning Rebecca Sudore, who is professor of medicine at the UCSF in the division of geriatrics, and is a geriatric and palliative care doctor. I think Bob also noted documenting it. Ideally, there’ll be a place in the chart that actually captures the name of that person and their contact information.

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Jumpstarting Goals of Care Convos: Erin Kross, Bob Lee, and Ruth Engelberg

GeriPal

They found a difference of 4% in documented goals of care discussions. At its heart, it’s always been a brief, hopefully one page document that can be delivered to clinicians and or patients to get them thinking about topics related to goals of care discussions. So that then closes by saying, “Please document a short note.

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