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Alex 01:27 We’re delighted to welcome back Tim F a rrell, who’s a geriatrician, associate chief for Age Friendly care at the University of Utah and chair of the American Geriatric Society Ethics Committee. All right, and finally we have Yael Zweig, who is a geriatric nurse practitioner at NYU. This is Eric Widera.
But we felt like we want to give like the primary thing about clinical decision support is to give the provider information they don’t already have. Do they have documents in the record like medical orders for life sustaining treatment or a healthcareproxy? The emergency physician knows it’s not new information.
Alex: Also returning Rebecca Sudore, who is professor of medicine at the UCSF in the division of geriatrics, and is a geriatric and palliative care doctor. So it’s an example of something that can start outside of the healthcare system and move its way in. Welcome back, Rebecca. Rebecca: Thanks for having us.
The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients. They didn’t come up in geriatrics very much. And we see that too in geriatrics.
It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. And so I was driven by the fact that I needed more information, and so it sort of became my clinical focus as well as I dabble in the research. We have both inpatient and outpatient at IU.
We didn’t really have any available information about changing from one opioid to the other, about… Medicines were used in a very unsophisticated way because we just didn’t know any stuff. And so people were just doing whatever they wanted, whatever moved them to do. She’s so responsive.” Susan: Yeah.
So I do think it’s useful to have that additional information. It would have a CPR section and then it would have a healthcareproxy section. Because POLST doesn’t, I believe, correct me if I’m wrong, you can’t assign a durable power of attorney for healthcare or healthcareproxy.
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