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When you’re a nurse, every shift presents the possibility that an ethical dilemma will emerge. And these dilemmas run the gamut from whether a patient has been invited to participate in their own treatment plan to whether an end-of-lifecare plan respects a patient’s spirituality or personal preferences.
But I do think POLST, which I conceptualize as an advance care planning tool, really sits in between those worlds of decisions that are relevant for the present versus the few future. And I think a large part of that is we have outpatient palliative care. And it I think really highlights how that’s a very blurry line.
And so Ruth highlighted one of the features of this pragmatic trial that was different than the outpatient trial was that we didn’t need to consent patients and families for participation in this study. And so that’s how we were able to proceed with the study under this waiver of consent. Erin: Code status.
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