GeriPal

APRIL 4, 2024

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. For example, I had another patient in the ICU who she was on a ventilator. ICU care was pretty rudimentary.

Feeding 197

Feeding Document Resuscitation Article 197

GeriPal

OCTOBER 19, 2023

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

Document Nursing home Healthcare proxy Ventilator 268

GeriPal

MARCH 24, 2022

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. I don’t need a checkbox form, I don’t need to know about CPR or mechanical ventilation.

Palliative care 145

Palliative care Geriatrics Palliate Document 145