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I have done a lot of work on POLST and nursinghomes and I’ve seen POLST forms. I saw years ago in Oregon, a POLST form that had been on file in a nursinghome resident’s chart for seven years. So what we’re talking about here are living wills, right? And it said comfort measures.
I once had a patient in the ICU at Moffitt who had had a stroke and was facing, not recovered, going to a nursinghome with a feeding tube. Eric: Initially it started with living wills back in the early-1970s development of durable-powered attorneys for healthcare. And that helps us get to the decision.
There are 86-year-olds living in a nursinghome with frailty, who I say, “I’m a geriatrician.” Tony: And don’t call it a living will because wills are about dying. In that, again this is GeriPal Podcast, geriatrics falls into the same boat. ” “Oh, yeah. That’s great. ” Okay.
In a separate study in Chest , Lauren found pre-ICU frailty was associated with post-ICU disability and new nursinghome admission. So, maybe the person with advanced dementia is coming in from the nursinghome and nobody can find the living will from however many years ago. How do I reconcile these two issues?
If the doctor believes the patient has six months or less to live, they can notify hospice for a consultation and/or admission. doctor, hospital, nursinghome) are added to the electronic medical record. Also, if the patient is coming home from the hospital, call the hospital to confirm the patient’s departure time.
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