GeriPal

APRIL 4, 2024

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. I once had a patient in the ICU at Moffitt who had had a stroke and was facing, not recovered, going to a nursing home with a feeding tube. ICU care was pretty rudimentary.

Feeding 197

Feeding Document Resuscitation Article 197

GeriPal

OCTOBER 19, 2023

For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursing homes. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy!

Document 268

Document Nursing home Healthcare proxy Ventilator 268

GeriPal

MARCH 24, 2022

I have done a lot of work on POLST and nursing homes and I’ve seen POLST forms. I saw years ago in Oregon, a POLST form that had been on file in a nursing home resident’s chart for seven years. 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