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

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 264

Document Feeding Resuscitation Article 264

GeriPal

MARCH 24, 2022

I have done a lot of work on POLST and nursing homes and I’ve seen POLST forms. I saw years ago in Oregon, a POLST form that had been on file in a nursing home resident’s chart for seven years. They said durable power of attorney for healthcare, like assigning a healthcare proxy.

Palliative care 173

Palliative care Geriatrics Palliate Document 173

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 130

Palliative care Palliate Resuscitation 2016 130