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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. In 1990 the Supreme Court ruled…for the state of Missouri.

Feeding 197
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Caring for Someone with ALS

Traditions Health

Eventually, all the muscles that a person can control are affected, forcing the person to use a ventilator and/or feeding tube. When to Seek Help Caring for someone with ALS often presents many challenges for the patient’s primary caregiver.

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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

And for a few reasons, which I’m sure we’ll get into, I think it’s probably most effective upstream of the acute care setting, more in the nursing home setting or for patients who are not presenting in the hospital or emergency department setting. So I do think it’s useful to have that additional information.

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.