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

Hospice News

It requires careful communication designed to identify what is most important to patients. While advance care planning is associated with end-of-life care, the process is also a frequent component of palliative care programs, which are oriented around patients’ own goals and wishes at any stage of their illnesses.

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Can I Include End of Life Care Wishes in My Will?

Seasons Hospice

If You or Your Loved One Is In Hospice Care, Be Proactive. If you have been diagnosed with a terminal illness and are receiving hospice care, you may want to consider creating a living will. This document can specify your end-of-life wishes in the event that you become unable to make decisions for yourself.

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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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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. Julien: He basically had an end of life care discussion with this patient.

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HSPN ELEVATE: Hospice Clinical Innovation Trends

Hospice News

We’re able to provide IV treatments, and we’re even able to do home extubations with ventilator support. This, again, provides families and patients a much more comfortable and connected experience at the end of life, and that’s what hospice is all about. Cheryl, I know you’ve done some work in this area.

Hospice 130
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Who should get Palliative Care? Kate Courtright

GeriPal

So when I was in my last year of pulmonary critical care fellowship, we had two week elective. Kate: And I kept saying, I want to do end of life care research with Scott Halpern and that’s what I did. There’s end of life care needs. It gets conflated with end of life care.

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

GeriPal

And yet, I think for everyone who’s elderly, which is anyone who’s my age or older, I would say it’s very important and ought to be part of an annual exam that we ought to be asking that, and documenting it in the chart. I think Bob also noted documenting it. What’s important to them in their quality of life?