GeriPal

JANUARY 16, 2025

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. Eric 27:31 They are unrepresented, they’re in the ICU on a ventilator. Should we keep them on the ventilator? Their advanced directive.

Healthcare proxy 272

Healthcare proxy Social worker Ventilator Geriatrics 272

Hospice News

JANUARY 31, 2024

Facilitating Better Communication Many patients in the ICU today have serious, life-limiting illnesses that may require family members to make urgent, difficult life-or-death decisions that may not be covered in written documents.

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Palliative care Palliate Ventilator Definition 294

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. And I use that as that documentation about what they want, recognizing that not everybody does that.

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Document Nursing home Healthcare proxy Ventilator 309

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 281

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

MARCH 28, 2024

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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Palliative care Palliate Ventilator 2016 285

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? Who are they?

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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. Imagine a world where you’re a triage nurse, can do a telehealth visit maybe using FaceTime, using our dedicated platform, and do a complete visit documentation, rather than going out to do a visit.

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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. Eric: While they’re ventilated in the ICU, would you do that too? Lauren: Shock.

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Geriatrics Ventilator Events Palliative care 243

GeriPal

JULY 11, 2024

I think one of the challenges, especially about liver, is it doesn’t have a dialysis, it doesn’t have an ecMo, it doesn’t have a ventilator. And I will document everything they express to me in a obviously non encephalopathic state. And that is how, you know, things get decided. If he has no capacity.

Palliative care 269

Palliative care Palliate Healthcare proxy Caregiver 269

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. Do I take vitals every hour or every four hours?

2020 98

2020 Ventilator Registered Nurse Nursing 98

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 339

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. And so it’s within normal practice to have a reasoning and be accountable for it and document that. Because that’s what we do.

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Palliative care Palliate Geriatrics Definition 250

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

Seasons Hospice

OCTOBER 26, 2022

This document can specify your end-of-life wishes in the event that you become unable to make decisions for yourself. Living wills are legal documents that outline a person’s wishes for end-of-life medical care. When it comes to estate planning, one of the most important documents you can have is a living will.

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End-of-life care Healthcare proxy Resuscitation Document 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

Nurse.com

AUGUST 16, 2022

Among some of the topics I’ve addressed are the failure to report major changes in a patient’s condition and the necessity of accurate documentation in a patient’s medical record in whatever form. On the third day of the patient’s hospitalization, the physician documented that the patient was constipated and had abdominal discomfort.

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Document Blog Ventilator Healthcare 91

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 316

The Nurse Break

MAY 1, 2022

So, it’s important the patient is well secured on our stretcher and to ensure our monitor, ventilator and infusion pumps are well secured on our bridge. I will complete all necessary clinical interventions/care and then document any treatment. What are some unique clinical considerations that Flight Nurses need to address?

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Nursing Ventilator Article Document 52

Home Care Pulse

FEBRUARY 14, 2023

Alice has stated that she is unsure about a feeding tube but is certain she does not want a ventilator or other assistive breathing device. Without this shared knowledge, the likelihood of Alice’s wishes being respected and carried out decreases. Investigate instances where communication practices result in negative outcomes.

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Social worker Article Feeding Chaplain 79

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.

Palliative care 52

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

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. Do I take vitals every hour or every four hours?

2020 52

2020 Ventilator Registered Nurse Nursing 52

The Nurse Break

DECEMBER 23, 2022

It has been well documented that during a disaster the bulk (and often, the most critically injured) of patients will arrive by their own means and not by ambulance, and that is exactly what happened. We had no idea what was going to happen next and we were all dreading the arrival of more seriously burned people.

2003 52

2003 Resuscitation Article 2013 52

Nurse.com

AUGUST 16, 2022

Among some of the topics I’ve addressed are the failure to report major changes in a patient’s condition and the necessity of accurate documentation in a patient’s medical record in whatever form. On the third day of the patient’s hospitalization, the physician documented that the patient was constipated and had abdominal discomfort.

Document 52

Document Blog Ventilator Healthcare 52

Daily Nurse

SEPTEMBER 9, 2024

Equipment includes tools and machines you may use repeatedly, like pulse oximeters and ventilators. Additionally, you might create categories associated with different types of care, like wound care or intravenous therapy, or other activities you perform during the day, like sterilization or documentation.

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Healthcare Ventilator Home health nurse Document 98

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.

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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. Did it increase documentation? Eric 21:55 And that’s new documentation.

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Document Palliative care Definition Bereavement 200