GeriPal

APRIL 4, 2024

She was resuscitated by EMS, but did not regain higher brain function, and was eventually diagnosed as being in a persistent vegetative state. Missouri set a very high bar, explicit written documentation that applies to this specific circumstance, which the Cruzan’s eventually cleared. And I think that’s where we want to be.

Document 253

Document Feeding Resuscitation Article 253

GeriPal

SEPTEMBER 5, 2024

Alex 00:15 We are delighted to welcome back Louise Aronson, who’s a geriatrician and author in the UCSF division of Geriatrics. There’s more to it that you should be documenting than DNR DNI, which seems like. Anyway, we resuscitated him as best we could, stayed in the ICU, and then ended up in a nursing home.

Article 246

Article Resuscitation Nursing home Document 246

GeriPal

OCTOBER 5, 2023

James Tulsky did a study in the late 80s looking at how residents at UCSF talked about code status, where the paradigmatic way was, if your heart stops, do you want us to resuscitate it? You’ve had three documented conversations to “clarify code status.” Alex: Wait, what’s the linkage here? Alex: Thank you.

Informed consent 325

Informed consent Article Palliative care Resuscitation 325

GeriPal

AUGUST 31, 2023

Why don’t people want to document serious illness conversations? I think this is actually bread and butter geriatrics. And then there’s this other time, and this gets to the geriatric patients, where you’re adapting to change and loss and then it’s a new normal that you’re trying to adapt to.

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Books Blog Palliative care Palliate 302