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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 nursinghomecare Karl’s GeriPal post on appropriate use of POLST Enjoy!
And typically, in the education around facilitating those conversations, we’re focused on eliciting goals and what are that individual’s goals of care and how does that direct the plan right now, knowing that some of those decisions, even if you make a choice now aren’t actually going to come into play for days, weeks, months.
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