GeriPal

APRIL 10, 2025

Yael Shenkers negative study of primary palliative care for cancer , Randy Curtiss negative study of a Vital Talk-ish intervention , Lieve Van den Blocks negative study of primary PC in nursing homes. Do they have documents in the record like medical orders for life sustaining treatment or a healthcare proxy?

Palliative care 182

Palliative care Palliate Resuscitation 2016 182

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 309

Document Nursing home Healthcare proxy Ventilator 309

GeriPal

APRIL 4, 2024

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. She had a respiratory arrest, and the nurse was really distraught. And that helps us get to the decision.

Document 264

Document Feeding Resuscitation Article 264

GeriPal

MARCH 24, 2022

So it’s an example of something that can start outside of the healthcare system and move its way in. Ideally, there’ll be a place in the chart that actually captures the name of that person and their contact information. I have done a lot of work on POLST and nursing homes and I’ve seen POLST forms.

Palliative care 173

Palliative care Geriatrics Palliate Document 173