Remove Feeding Remove Geriatrics Remove Resuscitation
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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal

She was resuscitated by EMS, but did not regain higher brain function, and was eventually diagnosed as being in a persistent vegetative state. In 1988, Cruzan’s parents requested that her feeding tube be removed, arguing that she would not want to continue in this state. In 1990 the Supreme Court ruled…for the state of Missouri.

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Lucid Episodes: Andrea Gilmore-Bykovskyi & Andrew Peterson

GeriPal

So all of a sudden speaking incoherent sentences, maybe being able functionally to feed yourself well and swallow well for a meal when you’ve been having dysphagia for years out of nowhere. Andrew, you might remember more about it with individuals who I think were maybe in the neuro ICU and they are undergoing resuscitation.

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The Language of Serious Illness: A Podcast with Sunita Puri, Bob Arnold, and Jacqueline Kruser

GeriPal

James Tulsky did a study in the late 80s looking at how residents at UCSF talked about code status, where the paradigmatic way was, if your heart stops, do you want us to resuscitate it? Alex: A feeding tube. 20 years later, Wendy Anderson did exactly the same study and found that residents at UCSF used exactly the same language.

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AI for surrogate decision making?!? Dave Wendler, Jenny Blumenthal-Barby, Teva Brender

GeriPal

If you look at the recordings of discussions they have with their doctors and even sort of the intonation when they talked about resuscitation, maybe that gives you information you could use to predict. But I do think that there’s a tension here, which is that in order for these algorithms to work, you need to feed them a ton of data.

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