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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal

The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients. They didn’t come up in geriatrics very much. And we see that too in geriatrics.

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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. So it’s an example of something that can start outside of the healthcare system and move its way in. Welcome back, Rebecca. Rebecca: Thanks for having us.

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Palliative Care Pioneer: Susan Block

GeriPal

We didn’t really have any available information about changing from one opioid to the other, about… Medicines were used in a very unsophisticated way because we just didn’t know any stuff. And so people were just doing whatever they wanted, whatever moved them to do. She’s so responsive.” Susan: Yeah.

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

GeriPal

So I do think it’s useful to have that additional information. It would have a CPR section and then it would have a healthcare proxy section. Because POLST doesn’t, I believe, correct me if I’m wrong, you can’t assign a durable power of attorney for healthcare or healthcare proxy.

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