GeriPal

APRIL 4, 2024

In 1988, Cruzan’s parents requested that her feeding tube be removed, arguing that she would not want to continue in this state. On the one hand, this was unfortunate, as it meant Nancy Cruzan could not be disconnected from the feeding tube immediately. For example, I had another patient in the ICU who she was on a ventilator.

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Document Feeding Resuscitation Article 284

GeriPal

OCTOBER 19, 2023

For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursing homes. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy!

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Document Nursing home Healthcare proxy Ventilator 312

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. He, his Twitter feed though is brilliant. Eric: Yeah. Alex: Yeah. Lauren: Shock.

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Geriatrics Ventilator Events Palliative care 243

GeriPal

MARCH 27, 2025

A lot has changed, but what motivated the study was a recognition that most advanced care planning interventional research had been undertaken in nursing homes. So intubation, cpr, feeding tubes. Eric 19:31 So it was interventions like feeding tubes, mechanical ventilation, dialysis at the very end of life.

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Document Palliative care Definition Bereavement 202