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For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursinghomes. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursinghomes, hospitalization, and nursinghome care Karl’s GeriPal post on appropriate use of POLST Enjoy!
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. And I thought that was pretty striking. Eric: Yeah. Why do you think that is? Lauren: Shock.
But definitely always had the bug to be the one to jump into the family meetings in the ICU, lead them. Alex: So the proven trial was that the video in the nursinghomes? Kate: Yeah, the nursinghomes. I definitely don’t want to do that today. Definitely doesn’t correlate with need.
You can mention significant experiences you had or skills you developed, such as working with ventilators or assisting with procedures like placing an IV, in a bulleted list below your clinical experience. Do I need to mention non-nursing work experience? spring 2022).
I have done a lot of work on POLST and nursinghomes and I’ve seen POLST forms. I saw years ago in Oregon, a POLST form that had been on file in a nursinghome resident’s chart for seven years. I don’t need a checkbox form, I don’t need to know about CPR or mechanical ventilation.
A lot has changed, but what motivated the study was a recognition that most advanced care planning interventional research had been undertaken in nursinghomes. Danny 07:39 Yeah, definitely. So some of our approaches definitely altered based on the availability of what we could get done. Like if somebody just drops.
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