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In the Nick of Time: Advance Care Planning in the ICU

AJN Off the Charts

I made a copy of it and gave it to the ICU social worker to scan for the patient’s electronic chart. Because it was the ICU, there were people to witness the form, plus a social worker to make sure it was scanned into the EMR. A profound and clarifying process. I had one with me and the time to help review it with her.

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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal

She was resuscitated by EMS, but did not regain higher brain function, and was eventually diagnosed as being in a persistent vegetative state. I remember there was an Archives article from, or Annals, I forget, it was probably called Archives back then, Resuscitating Advanced Directives. Laurie: No full treatment means the full ICU.

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Preventable and Aggressive Care for Cancer Patients: To the Bitter End

AJN Off the Charts

My guess is that few had had those important conversations or had been offered a wider range of choices than just to be hospitalized or be resuscitated/full code. Had anyone even discussed any of that with them? If older people with cancer are fully informed and want to come to the ED, the hospital, the ICU, I’m a fierce advocate for that.

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How Do I Make a Will?: End-of-Life Documentation

Seasons Hospice

Looking for hospice care? Visit the Seasons Hospice services page to learn more. We have social workers available on staff to help facilitate the execution of end-of-life documents and wills. A do not resuscitate order (DNR) directly instructs health care professionals not to perform cardiopulmonary resuscitation (CPR).

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Normalcy, Introspection, & the Experience of Serious Illness: Bill Gardner, Juliet Jacobsen, and Brad Stuart

GeriPal

He spent a long time as hospice medical director and he founded a national model of care that many of our listeners will be familiar with, AIM, which stands for the Advanced Illness Management program, which has influenced CMS policy. Today we talk with deep thinkers about this issue. Bill: Thank you. You interviewed some geriatricians.

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Allowing Patients to Die: Louise Aronson and Bill Andereck

GeriPal

And sure enough, yeah, we hospice and let her die at home in a couple days, very quietly. Anyway, we resuscitated him as best we could, stayed in the ICU, and then ended up in a nursing home. We’ve resuscitated people. I said, how the hell are you going to die if you don’t get sick? I’ve had them both ways.

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