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Caring for the Unrepresented: A Podcast with Joe Dixon, Timothy Farrell, Yael Zweig

GeriPal

So like as an example, in New York State, if someone has no healthcare proxy that they’ve designated, there is a legal structure by which we can assign a surrogate, whereas other states don’t have that same structure. Yael 10:52 Yeah. And I think that’s where there’s so much state by state variability.

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POLST Evidence and Update: Kelly Vranas, Abby Dotson, Karl Steinberg, and Scott Halpern

GeriPal

Certainly SOME of those avoided hospitalizations, CPR, and ICU stays were due to documentation of those orders in the POLST. So just to make that more concrete, Scott and I did a study a couple of years ago as well looking just at OHSU patients who presented to the emergency department with POLST. Why are they doing that?

Document 305
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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal

Missouri set a very high bar, explicit written documentation that applies to this specific circumstance, which the Cruzan’s eventually cleared. But legislation can change, clinical practice can change, but I think what we’ll talk about today is how we’re now opening the door to conversations rather than legal rules and documents.

Document 246
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Palliative Care in Liver Disease: A Podcast with Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson

GeriPal

Sarah 24:24 See, I usually always present it as these are things we should think of. This is a normal thing we need to talk about and not present it as something, oh, because of how sick you are, we’re going to talk about this, really try to normalize it. Sarah 24:19 Well, I don’t know. Amy 24:21 For me, I always.

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

Seasons Hospice

This document can specify your end-of-life wishes in the event that you become unable to make decisions for yourself. You may also want to designate a healthcare proxy, who will be responsible for making sure your wishes are carried out. What Items Should Be Present In Your Living Will?

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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. Eric: Anybody else’s thoughts on that?