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Hospice Nurses Take a Holistic Approach to Dementia Care

Nurse.com

The process helps primary care professionals identify a person’s care goals and document and communicate their medical and personal preferences. “If Documenting care preferences in advance — Planning care early in the disease process is a meaningful way to identify, document, and communicate a patient’s goals. Refusing care.

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The Case for Palliative Care in the ICU

Hospice News

Facilitating Better Communication Many patients in the ICU today have serious, life-limiting illnesses that may require family members to make urgent, difficult life-or-death decisions that may not be covered in written documents.

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Black/African American Caregivers of Older Adults Living with Dementia: Fayron Epps and Karen Moss

GeriPal

Summary Transcript Summary The proportion of people living with dementia who identify as Black/African Americans is on the rise , and so too are the proportion of caregivers who identify as Black/African American. Why a focus on Black/African American caregivers and people with dementia? We talk in particular about: Terminology.

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Done Right, Advance Care Planning Can Reduce High-Acuity Utilization

Hospice News

Those were a group of outcomes that we looked at that included mechanical ventilation, hospital admissions within the last 30 days of life, intensive care unit admissions, receiving cardiopulmonary resuscitation, and chemotherapy within the last two weeks of life. So these are generally seen as treatments that are futile.

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POLST Evidence and Update: Kelly Vranas, Abby Dotson, Karl Steinberg, and Scott Halpern

GeriPal

Certainly SOME of those avoided hospitalizations, CPR, and ICU stays were due to documentation of those orders in the POLST. Because we haven’t done our job to document the value of what we’re doing. And I use that as that documentation about what they want, recognizing that not everybody does that. Karl: Okay.

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PC Trials at State of Science: Tom LeBlanc, Kate Courtright, & Corita Grudzen

GeriPal

What we did was ask clinicians earlier in the ICU stay for very sick patients to document prognosis, and for those who they thought would survive, to document six-month functional prognosis. And that helped them focus on that instead of, say, the blood pressure, the vasopressors or the ventilator settings that day. Eric: Okay.

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Palliative Care in Liver Disease: A Podcast with Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson

GeriPal

They’re confused a lot of the time, and so we’re doing a ton of caregiver support. I think one of the challenges, especially about liver, is it doesn’t have a dialysis, it doesn’t have an ecMo, it doesn’t have a ventilator. What’s the goal? And that is how, you know, things get decided.