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They got a decision support tool that identified hospice patients or those who might benefit from a goals of care discussion. hospice use). But what we don’t know is are they already on hospice? Do they have documents in the record like medical orders for life sustaining treatment or a healthcareproxy?
For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursinghomes. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursinghomes, hospitalization, and nursinghome care Karl’s GeriPal post on appropriate use of POLST Enjoy!
I once had a patient in the ICU at Moffitt who had had a stroke and was facing, not recovered, going to a nursinghome with a feeding tube. Even if you haven’t completed a healthcareproxy, durable training for healthcare, most states say here’s a list of people who can make that decision in order.
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