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For many individuals we serve who present with chronic, progressive and/or neurological conditions, this is what they face daily. Fortunately, in post-acute care, Augmentative and Alternative Communication (AAC) steps in to close the gap, ensuring residents’ voices are not just heard but understood. We all have, right?
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. Eric 27:31 They are unrepresented, they’re in the ICU on a ventilator. Should we keep them on the ventilator? They have one.
Alex: And we’re delighted to welcome back Karl Steinberg, he’s a palliative care doc and a geriatrician. He’s President of National POLST and recent past president of AMDA, the Long-TermCare Association. He’s been a hospice and nursing home director. Welcome, Karl. Karl: Thanks for having me.
Joel was diagnosed with a catastrophic brain injury and after 2 weeks in ICU on a ventilator, he was moved in a comatose state to the same Children’s ward where I had worked as an RN, 10 years previously. Our focus at present is for those affected by chronic stroke – but we recognise that PSE will go on to help so many others.
But I do think POLST, which I conceptualize as an advance care planning tool, really sits in between those worlds of decisions that are relevant for the present versus the few future. And when I think about advance care planning too, it all goes back to like meaning making, like who is this person? Sean: I did, I did.
Alex: First is Darrell Owens, who’s Associate Medical Director of Palliative Care at the University of Washington Northwest Campus. Alex: And second is Jim Wright, who is medical director of two long-termcare and skilled nursing facilities in Richmond, Virginia: Our Lady of Hope and Westminster Canterbury.
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