Remove Geriatrics Remove Hospice Remove Informed consent
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Hastening Death by Stopping Eating and Drinking: Hope Wechkin, Thaddeus Pope, & Josh Briscoe

GeriPal

To delve into these questions, we spoke with Hope Wechkin, medical director of EvergreenHealth home hospice, who authored an article describing a process of Minimal Comfort Feeding (MCF) for patients who have expressed an interest in not wanting to live with advanced dementia. Who do you give informed consent to?

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Substance Use Disorder in Aging and Serious Illness: A Podcast with Katie Fitzgerald Jones, Jessica Merlin, Devon Check

GeriPal

Alex: We are delighted to welcome back to the GeriPal podcast, Katie Fitzgerald Jones, who’s a nurse scientist at the New England Geriatric Research Education and Clinical Center, and a palliative and addiction nurse practitioner at the VA in Boston. I’ve had people dying on hospice that don’t have pain. Eric: Yeah.

professionals

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Involving the inner circle: Emily Largent, Anne Rohlfing, Lynn Flint & Anne Kelly

GeriPal

Emily and colleagues have argued for a wider view of consent that continues to involve patients whose consent may fall in the gray zone – able to express some goals and values, hopes and fears – but not able to think through the complexities of a major decision. Eric: Yeah. I love the idea of both the context.

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Psychedelics – reasons for caution: Stacy Fischer, Brian Anderson, Theora Cimino

GeriPal

And we chose that in part because that will just help with the scientific question of the blinding, but there’s data in how we can use oral ketamine in patients with cancer who are in hospice, and they do have some benefit in maybe mood or anxiety that is at least shortly lived, if not lasts more than a week or so.