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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal

And now ICU care has flourished, and we can keep people alive in the sense that their heart is beating and we can sustain their ventilation and circulation. For example, I had another patient in the ICU who she was on a ventilator. They didn’t come up in geriatrics very much. And we see that too in geriatrics.

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Aging and the ICU: Podcast with Lauren Ferrante and Julien Cobert

GeriPal

This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. GeriPal podcast with Linda Fried on frailty.

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What can we learn from simulations? Amber Barnato

GeriPal

I’d be willing to take some time on a mechanical ventilation machine to live longer.” And so the idea that patients are walking around with these on their shoulder like, “Hey, I got the mechanical ventilation preference, just want to make sure.” ” Because I’m like, “Yeah, to what end?

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

GeriPal

And that helped them focus on that instead of, say, the blood pressure, the vasopressors or the ventilator settings that day. And then they had to be receiving 48 hours of continuous mechanical ventilation at a minimum and be an adult. Eric: And how did you do that? There were nine disease categories. Eric: Okay.

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

GeriPal

He’s been a hospice and nursing home director. I can on one hand count the patients I’ve cared for who didn’t want mechanical ventilation. A lot of them ended up having functional limitations that made that if they came from home, they ended up going to a nursing facility or hospice. Welcome, Abby.

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Who should get Palliative Care? Kate Courtright

GeriPal

In the US, geriatrics “grew up” as an academic profession with a heavy research base. Clinical growth of geriatrics programs has lagged academic research, despite the rapid aging of the population. . And instead of only being focused on the mechanical ventilation parameters that day, we force them to focus on prognosis.

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Comics and Humor in Palliative Care: A Podcast with Nathan Gray

GeriPal

And then, “I call hospice giving up.” And yet, when the reality of breathing difficulties, BIPAP, the talks of tracheostomy and ventilators set in, what had seemed so clear on that piece of paper, no longer seemed so clear. And so here’s a picture of four healthcare providers behind bars. Like, oh no, I said it.