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Caring for the Unrepresented: A Podcast with Joe Dixon, Timothy Farrell, Yael Zweig

GeriPal

So it defines unrepresented as someone who lacks decisional capacity to provide informed consent to a particular medical treatment. Let’s say they’re in the ICU now on a ventilator. So on the clinical side, people are really focused on how long do they have to be on the ventilator and managing that. They have one.

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Making every word count: The role of AAC in LTC

Rehab Realities by Renee Kinder

Consider the case of a resident recovering from a traumatic brain injury and temporarily reliant on a ventilator. Rehab professionals can use this information to determine the most appropriate AAC interventions to enhance expressive communication.

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PC Trials at State of Science: Tom LeBlanc, Kate Courtright, & Corita Grudzen

GeriPal

We all, when bombarded with information have to take certain elements of a decision and focus on those; and in the ICU, you can imagine, we’re bombarded with information a lot. And that helped them focus on that instead of, say, the blood pressure, the vasopressors or the ventilator settings that day. Eric: Okay.

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The Language of Serious Illness: A Podcast with Sunita Puri, Bob Arnold, and Jacqueline Kruser

GeriPal

And I have gone through my not-so-long career, but it’s coming up on nine years now, seeing the way that we have talked about CPR in such problematic ways, in ways that really do not enable true informed consent. And I wonder, because I read that need part a lot in this article. And I think a lot of that leads to extreme moral distress.

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Aging and the ICU: Podcast with Lauren Ferrante and Julien Cobert

GeriPal

And Lauren Ferrante has found in a study published in JAMA Internal Medicine that trajectories of disability in the year prior to ICU admission were highly predictive of disability post-ICU, on the same order of magnitude as mechanical ventilation. Eric: While they’re ventilated in the ICU, would you do that too? Lauren: Shock.

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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal

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. For example, I had another patient in the ICU who she was on a ventilator. ICU care was pretty rudimentary.

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What is PACU, and What Does a PACU Nurse Do? 

Daily Nurse

When they arrive in the PACU, these patients may have airways in place or, in some cases, be on ventilators. It’s easier for them to process the information when alert and clear-headed. Because hospitals perform complex cases, patients are often placed under general anesthesia.