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

MARCH 3, 2022

And Lauren Ferrante has found in a study published in JAMA Internal Medicine that trajectories of disability in the year prior to ICU admission were highly predictive of disability post-ICU, on the same order of magnitude as mechanical ventilation. How do I reconcile these two issues? Lauren: Shock. Lauren: Yeah.

Geriatrics 190

Geriatrics Ventilator Palliative care Events 190

GeriPal

MARCH 24, 2022

Ideally, there’ll be a place in the chart that actually captures the name of that person and their contact information. But I do think POLST, which I conceptualize as an advance care planning tool, really sits in between those worlds of decisions that are relevant for the present versus the few future. Who are they?

Palliative care 145

Palliative care Geriatrics Palliate Document 145