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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.

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Care Across the Health Care Continuum: Communication and Education are the Keys to Success

Home Care Pulse

Alice has stated that she is unsure about a feeding tube but is certain she does not want a ventilator or other assistive breathing device. Do your social workers know how to access the lending closet for specialized equipment? Her grandso n was able to receive support from the social worker and the child life specialist.

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Black/African American Caregivers of Older Adults Living with Dementia: Fayron Epps and Karen Moss

GeriPal

So whether or not somebody wants to be on CPR or ventilator, that sort of thing. What that looks like, to some degree, by having a conversation, by documenting wishes, we can potentially influence what that looks like and what that experience is for that person who is dying and then also for family members who are left behind.

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PC Trials at State of Science: Tom LeBlanc, Kate Courtright, & Corita Grudzen

GeriPal

What we did was ask clinicians earlier in the ICU stay for very sick patients to document prognosis, and for those who they thought would survive, to document six-month functional prognosis. And that helped them focus on that instead of, say, the blood pressure, the vasopressors or the ventilator settings that day. Eric: Okay.

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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. Eric: Anybody else’s thoughts on that? Who are they?

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Firestorm

The Nurse Break

It has been well documented that during a disaster the bulk (and often, the most critically injured) of patients will arrive by their own means and not by ambulance, and that is exactly what happened. We had no idea what was going to happen next and we were all dreading the arrival of more seriously burned people.

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Who should get Palliative Care? Kate Courtright

GeriPal

Whether it’s the consult rate or documentation of a conversation, hospice referrals, those kinds of things, and then patient outcomes, quality of life, symptom burden. You’re not hiring a bunch of social workers or nurses or docs to do it. But what I shared is the paradigm of research has gone a little backwards.