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So it defines unrepresented as someone who lacks decisional capacity to provide informedconsent to a particular medical treatment. And importantly, our socialworker, Aunt Kelly, actually does a search and I would say 75% of the time she finds somebody maybe even higher than that, finds somebody who’s actually a surrogate.
Alex: And a voice that will be very familiar to our listeners, a dynamic and enthusiastic socialworker in palliative care at the San Francisco VA, Anne Kelly. Emily: Looks like informed decision making around family involvement. Alex: And of course, Lynn Flint, who’s a palliative care physician at the San Francisco VA.
Susan: I’ll just say, I think that could happen outside of the healthcare setting pretty easily and frequently does. So it’s an example of something that can start outside of the healthcare system and move its way in. Eric: Anybody else’s thoughts on that? I think Bob also noted documenting it. Rebecca: Agreed.
To Brian’s point, that we are also integrating chaplains, socialworkers, it’s not necessarily two psychotherapists. I don’t want the public, or the healthcare field, to say, “It’s safe and effective, I can go do it.” And having that transparency, our sessions are taped.
But I think that as Ruth was saying, while the prior Jumpstart was quite effective at both increasing frequency of and quality of both care conversations in the outpatient space, it was just too labor-intensive to think about implementing widely across a healthcare system. I believe that and the IRB believed that. So within those variables.
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