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So we thought that really coalescing around this term, which is still difficult because sometimes you think of unrepresented is politically unrepresented or it is a challenging definition with three parts to it that’s really hard to capture with any one term. To have a socialworker who’s dedicated in many places.
Alex: And a voice that will be very familiar to our listeners, a dynamic and enthusiastic socialworker in palliative care at the San Francisco VA, Anne Kelly. And one quibble with that of course is that we think the definition of capacity is that it’s task and context specific. Welcome back, Lynn. Lynn: Thank you.
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. To Brian’s point, that we are also integrating chaplains, socialworkers, it’s not necessarily two psychotherapists. What is this?
So a lot of the skills that are used in advance care planning are the same kind of skills you would use in a context where you were communicating information or prognosis or doing an informedconsent discussion. I don’t completely buy that there’s separate constructs altogether. Hopefully that answers your question.
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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