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For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursinghomes. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursinghomes, hospitalization, and nursinghome care Karl’s GeriPal post on appropriate use of POLST Enjoy!
And now ICU care has flourished, and we can keep people alive in the sense that their heart is beating and we can sustain their ventilation and circulation. 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. ICU care was pretty rudimentary.
You can mention significant experiences you had or skills you developed, such as working with ventilators or assisting with procedures like placing an IV, in a bulleted list below your clinical experience. According to Yale University’s School of Nursing, resumes should be one to two pages in length. spring 2022).
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. I have done a lot of work on POLST and nursinghomes and I’ve seen POLST forms. So the first order on all POLST forms is around code status.
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. How do I reconcile these two issues? Lauren: Shock. Lauren: Yeah.
Imagine that you are the medical director of a large (>150 bed) nursinghome. Two-thirds of the patients in the home now have COVID-19. The other physicians who previously saw patients in the nursinghome are no longer coming to your facility because you have COVID positive patients. Summary Transcript Summary.
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