GeriPal

OCTOBER 19, 2023

Certainly SOME of those avoided hospitalizations, CPR, and ICU stays were due to documentation of those orders in the POLST. For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursing homes. He’s been a hospice and nursing home director.

Document 306

Document Nursing home Healthcare proxy Ventilator 306

GeriPal

APRIL 4, 2024

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 253

Document Feeding Resuscitation Article 253

GeriPal

MARCH 3, 2022

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. How do I reconcile these two issues? Lauren: Shock. Lauren: Yeah.

Geriatrics 229

Geriatrics Ventilator Events Palliative care 229

GeriPal

MARCH 24, 2022

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?

Palliative care 166

Palliative care Geriatrics Palliate Document 166

Hospice News

OCTOBER 12, 2023

I think that those hospital modalities at VITAS were able to bring high-flow oxygen and other breathing modalities into the home. We’re able to provide IV treatments, and we’re even able to do home extubations with ventilator support. We have to serve those individuals that are in between. I just love them.

Hospice 130

Hospice Document End-of-life care Article 130

GeriPal

JUNE 9, 2022

Whether it’s the consult rate or documentation of a conversation, hospice referrals, those kinds of things, and then patient outcomes, quality of life, symptom burden. Alex: So the proven trial was that the video in the nursing homes? Kate: Yeah, the nursing homes. If many folks didn’t get it.

Palliative care 234

Palliative care Palliate Geriatrics Definition 234

GeriPal

MARCH 27, 2025

Potential that documenting advance directives without a robust conversation about prognosis might have led to these findings. A lot has changed, but what motivated the study was a recognition that most advanced care planning interventional research had been undertaken in nursing homes. Wait, how is that actually defined?

Document 179

Document Palliative care Definition Bereavement 179