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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal

Missouri set a very high bar, explicit written documentation that applies to this specific circumstance, which the Cruzan’s eventually cleared. But legislation can change, clinical practice can change, but I think what we’ll talk about today is how we’re now opening the door to conversations rather than legal rules and documents.

Feeding 197
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HSPN ELEVATE: Hospice Clinical Innovation Trends

Hospice News

I think that those hospital modalities at VITAS were able to bring high-flow oxygen and other breathing modalities into the home. We’re able to provide IV treatments, and we’re even able to do home extubations with ventilator support. They offer home health, they offer palliative care, and so forth.

Hospice 130
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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. For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursing homes. He’s been a hospice and nursing home director.

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Who should get Palliative Care? Kate Courtright

GeriPal

In contrast to geriatrics, the evidence base for palliative care lagged clinical growth, in part because palliative care has no centralized “home” at the National Institutes of Health. Clinical growth of geriatrics programs has lagged academic research, despite the rapid aging of the population. . By diagnosis? By prognosis?

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

GeriPal

And yet, I think for everyone who’s elderly, which is anyone who’s my age or older, I would say it’s very important and ought to be part of an annual exam that we ought to be asking that, and documenting it in the chart. I think Bob also noted documenting it. Susan: Thanks so much, Alex. Welcome back, Bob.

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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. That will be the last one in his life. Don’t ask anybody. Eric: Yeah. Alex: Yeah.