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

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

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