Hospice News

MAY 17, 2023

Those were a group of outcomes that we looked at that included mechanical ventilation, hospital admissions within the last 30 days of life, intensive care unit admissions, receiving cardiopulmonary resuscitation, and chemotherapy within the last two weeks of life. So these are generally seen as treatments that are futile.

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Resuscitation Ventilator End-of-life care Palliative care 246

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.

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Document Feeding Resuscitation Article 284

GeriPal

OCTOBER 19, 2023

Certainly SOME of those avoided hospitalizations, CPR, and ICU stays were due to documentation of those orders in the POLST. Because we haven’t done our job to document the value of what we’re doing. On the other hand, I agree with Karl that the POLST has face validity, and anecdotal evidence is overwhelming. Welcome, Abby.

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Document Nursing home Healthcare proxy Ventilator 312

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. Susan: Thanks so much, Alex. Welcome back, Bob.

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Palliative care Geriatrics Palliate Document 189

Hospice News

OCTOBER 12, 2023

We’re able to provide IV treatments, and we’re even able to do home extubations with ventilator support. I think that those hospital modalities at VITAS were able to bring high-flow oxygen and other breathing modalities into the home. HSPN: Of course, most hospices these days provide more than just hospice.

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Hospice Document End-of-life care Article 130

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. That will be the last one in his life. Don’t ask anybody. Eric: Yeah. Alex: Yeah.

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Geriatrics Ventilator Events Palliative care 243

GeriPal

OCTOBER 5, 2023

I think one of the residents you asked how would they broach a subject, and he said wording like, “Unfortunately, he still needs a ventilator.” ” You talk about this too, even in your own training, where even around CPR, the training is like he might need a ventilator if he couldn’t protect his airway.

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Informed consent Article Palliative care Resuscitation 341

Nurse.com

AUGUST 5, 2022

Each new rotation in a COVID-19 ICU made us feel like we were patients who had just undergone CPR, been brought back to life, and were back on a ventilator for the next round. I found out that the stairwell wasn’t just a heart healthy method for getting from floor to floor; it was where nurses and residents went to cry.

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2020 Ventilator Registered Nurse Nursing 98

Seasons Hospice

MARCH 26, 2023

Advanced Directives Advanced directives , sometimes referred to as living wills, are documents that provide direction for end-of-life care decisions. These documents allow individuals to plan ahead and specify their wishes in case of medical emergencies or chronic medical conditions. Is There A Length Of Time For Palliative Care?

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Palliative care Palliate Life-prolonging treatment End-of-life care 52

GeriPal

MAY 26, 2022

So I think the practical implementation may be very challenging for this as well as just the documentation of whether or not somebody’s been vaccinated. And I don’t think people think to bring those things when they’re really sick in coming to the hospital. Emily: Yeah.

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Article Definition Healthcare Geriatrics 226

Hope Hospice

APRIL 28, 2020

Do you and your loved ones have an advance healthcare directive as well as the other documents necessary for managing legal and financial issues (e.g., This couple did not have advance healthcare directives nor were documents in place that would enable the wife to handle her husband’s independent financial accounts and property.

Healthcare 52

Healthcare Caregiver Download Healthcare proxy 52

Hope Hospice

APRIL 28, 2020

Do you and your loved ones have an advance healthcare directive as well as the other documents necessary for managing legal and financial issues (e.g., This couple did not have advance healthcare directives nor were documents in place that would enable the wife to handle her husband’s independent financial accounts and property.

Healthcare 52

Healthcare Caregiver Download Healthcare proxy 52

Hope Hospice

APRIL 28, 2020

Do you and your loved ones have an advance healthcare directive as well as the other documents necessary for managing legal and financial issues (e.g., This couple did not have advance healthcare directives nor were documents in place that would enable the wife to handle her husband’s independent financial accounts and property.

Healthcare 52

Healthcare Caregiver Download Healthcare proxy 52

GeriPal

SEPTEMBER 21, 2023

So whether or not somebody wants to be on CPR or ventilator, that sort of thing. What that looks like, to some degree, by having a conversation, by documenting wishes, we can potentially influence what that looks like and what that experience is for that person who is dying and then also for family members who are left behind.

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Caregiver Nursing 2030 Bereavement 319

Nurse.com

AUGUST 5, 2022

Each new rotation in a COVID-19 ICU made us feel like we were patients who had just undergone CPR, been brought back to life, and were back on a ventilator for the next round. I found out that the stairwell wasn’t just a heart healthy method for getting from floor to floor; it was where nurses and residents went to cry.

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2020 Ventilator Registered Nurse Nursing 52

The Nurse Break

APRIL 3, 2022

Titration of ventilation settings, CRRT troubleshooting, vasopressor management, and supporting loved ones, all the while trying to manage documentation and patients who are critically unwell or aggressive as a result of ICU delirium. Mental Health Nursing. Miscellaneous. News & Spotlights. Nurse Practitioner. Oncology Nursing.

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Nursing Registered Nurse Article Healthcare 98

GeriPal

MARCH 27, 2025

Potential that documenting advance directives without a robust conversation about prognosis might have led to these findings. Jennifer 17:26 Documentation of end of life preferences. And we looked at newly documented end of life preferences. My goals will differ if I think I probably have 2 years to live vs 10 years.

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Document Palliative care Definition Bereavement 202

GeriPal

MAY 15, 2025

Summary Transcript CME Summary Our main focus today was on nudging critical care clinicians to consider a more palliative approach to care. Our guests are all trained in critical care: Kate Courtright, Scott Halpern, and Jaspal Singh. Kate and Scott have additional training in palliative medicine. To start, we review: What is a nudge? Where was it?

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Palliative care Ventilator Palliate Document 246