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Caring for the Unrepresented: A Podcast with Joe Dixon, Timothy Farrell, Yael Zweig

GeriPal

Let’s say they’re in the ICU now on a ventilator. So on the clinical side, people are really focused on how long do they have to be on the ventilator and managing that. Eric 27:31 They are unrepresented, they’re in the ICU on a ventilator. Should we keep them on the ventilator? Their advanced directive.

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Former Mercy Health CEO: U.S. Needs to Embrace ‘Death Literacy’

Hospice News

This is the subject of Connelly’s recent book, The Journey’s End: An Investigation of Death & Dying in America. It’s going into an intensive care unit and getting feeding tubes and ventilators and all this stuff that isn’t going to change anything. But they don’t always understand what that means.

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Aging and the ICU: Podcast with Lauren Ferrante and Julien Cobert

GeriPal

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.

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The Language of Serious Illness: A Podcast with Sunita Puri, Bob Arnold, and Jacqueline Kruser

GeriPal

You’ve written in a lot of places, including your own books. I felt like I was always told to present people with a buffet of options and, really, without guidance, ask them to choose, which is, it would always make me feel sick to my stomach. Eric: The Hidden Harms of CPR. Sunita: There we go.

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

GeriPal

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. I don’t need a checkbox form, I don’t need to know about CPR or mechanical ventilation. That’s not unique to POLST as an order.