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Alex 01:27 We’re delighted to welcome back Tim F a rrell, who’s a geriatrician, associate chief for Age Friendly care at the University of Utah and chair of the American Geriatric Society Ethics Committee. All right, and finally we have Yael Zweig, who is a geriatric nurse practitioner at NYU. This is Eric Widera.
And I have gone through my not-so-long career, but it’s coming up on nine years now, seeing the way that we have talked about CPR in such problematic ways, in ways that really do not enable true informedconsent. So I think consenting to a course of treatment involves that two-way conversation. Sunita: Oh, yeah.
Who do you give informedconsent to? The definition of capacity in ethics and medicine, law. So I was thinking about the fast stages of dementia and could definitely imagine folks who are at a six level who are incontinent, who would say that’s not a quality of life that is tolerable to me. And for that person.
I think the two spaces it comes out of, one is informedconsent, which is this idea that people need to have an understanding of their disease and treatment. But if you have surgery, you’re definitely having some bad things happen to you because it hurts to have surgery. Gretchen: Absolutely. Is this all pie in the sky?
Emily and colleagues have argued for a wider view of consent that continues to involve patients whose consent may fall in the gray zone – able to express some goals and values, hopes and fears – but not able to think through the complexities of a major decision. Eric: Yeah. I love the idea of both the context.
Alex: We are delighted to welcome back to the GeriPal podcast, Katie Fitzgerald Jones, who’s a nurse scientist at the New England Geriatric Research Education and Clinical Center, and a palliative and addiction nurse practitioner at the VA in Boston. I have to do them where I work, but I use them as an opportunity for informedconsent.
Alex: Also returning Rebecca Sudore, who is professor of medicine at the UCSF in the division of geriatrics, and is a geriatric and palliative care doctor. I think I’m heartened by the fact that over the last decade or so, the definition of advance care planning has evolved. Welcome back, Rebecca. Rebecca: Can I jump in.
Brian: The standard definition that we take a lot, from the work of David Kissane, has been poor coping, the sense of helplessness or hopelessness, and a lack of purpose and meaning. They really wanted to have informedconsent, a trustworthy guide, and a therapeutic setting. Alex: Oh, definitely. What is this?
And so Ruth highlighted one of the features of this pragmatic trial that was different than the outpatient trial was that we didn’t need to consent patients and families for participation in this study. And so that’s how we were able to proceed with the study under this waiver of consent. ” Would that make it?
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