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

GeriPal

All right, and finally we have Yael Zweig, who is a geriatric nurse practitioner at NYU. Let’s say they’re in the ICU now on a ventilator. So on the clinical side, people are really focused on how long do they have to be on the ventilator and managing that. Should we keep them on the ventilator? They have one.

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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. 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. Welcome, Karl.

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

Hospice News

Researchers from the Regenstrief Institute and Indiana University School of Nursing recently conducted a meta-analysis of studies involving more than 33,000 cancer patients to evaluate the relationship between advance care planning and utilization of aggressive versus comfort-focused care.

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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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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.

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Checklist Prompters Support ICU Rounds

Daily Nurse

The team developed a paper-based assessment tool with a series of Yes/No items related to the ABCDEF bundle, allowing a nurse observer to circle whether an element had been addressed during rounds Two nurses performed in-person observations of multidisciplinary morning rounds on 15 observation days in the fall of 2021.

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Take Ownership of Your Nursing Knowledge and Skills

Minority Nurse

Nurses are invaluable members of the healthcare workforce, and when you’re proactively building a nursing career that you can fully embrace and be proud of, there are plenty of strategies and mindset hacks to consider. One of the greatest assets you carry as a nurse is the many skills you’ve worked hard to acquire.

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