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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.
And I have gone through my not-so-long career, but it’s coming up on nine years now, seeing the way that we have talked about CPR in such problematic ways, in ways that really do not enable true informedconsent. So I think consenting to a course of treatment involves that two-way conversation. Sunita: Oh, yeah.
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 that too.
It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. But the cancer specific databases just don’t have this information. It’s opening this stock box of, all of a sudden, now what do I do with this information? Katie: Yeah.
Brian: I mean, bottom line in clinical research or psychedelic medicines, we don’t have a lot of information on safety anyway, and we definitely don’t have it in older adults. We just don’t have that information, and people should just be careful. Alex: Because psilocybin raises heart rate and blood pressure.
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. Ideally, there’ll be a place in the chart that actually captures the name of that person and their contact information. Welcome back, Rebecca. Rebecca: Yeah.
I think the two spaces it comes out of, one is informedconsent, which is this idea that people need to have an understanding of their disease and treatment. What is their interaction with any other information that they’ve gotten about their predicament? Gretchen: Absolutely. And I think it came out of this good space.
Who do you give informedconsent to? It is the CME activity providers responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Past self or current self? And especially with eating and drinking, like when I think about it, these are not.
And I think that his research was informed by his clinical practice, his clinical practice was informed by his research. 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 then once we have the surrogate, let’s really try to give them the information they need to make decisions. And so there’s chances that we could do better with this information. You just give the information to the surrogate and say, but if you feel strongly otherwise, don’t do this and that that possibly has.
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