Remove Healthcare proxy Remove Information Remove Patient care Remove Presentation
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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. And the problem, it goes down in many states to close family members, any friend who knows the patient.

Document 197
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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. It’s just an interference with good patient care.

Document 268
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Advance Care Planning Discussion: Susan Hickman, Sean Morrison, Rebecca Sudore, and Bob Arnold

GeriPal

So it’s an example of something that can start outside of the healthcare system and move its way in. Ideally, there’ll be a place in the chart that actually captures the name of that person and their contact information. So I think that really questioning what we do is a good thing that routes to improved patient care.