GeriPal

APRIL 10, 2025

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 healthcare proxy?

Palliative care 201

Palliative care Palliate Resuscitation 2016 201

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!

Document 312

Document Nursing home Healthcare proxy Ventilator 312

GeriPal

APRIL 4, 2024

I once had a patient in the ICU at Moffitt who had had a stroke and was facing, not recovered, going to a nursing home with a feeding tube. Even if you haven’t completed a healthcare proxy, durable training for healthcare, most states say here’s a list of people who can make that decision in order.

Document 288

Document Feeding Resuscitation Article 288