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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. Bernie: So let me flip it around.
I made a copy of it and gave it to the ICU socialworker to scan for the patient’s electronic chart. Marian Grant, palliative care NP. I also work as a palliative care nurse practitioner (NP) in an academic medical center where I see the real-life aspects of advance care planning. I first saw the patient the next morning.
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. Palliative care could prevent many ED visits. This study reviewed data on almost a billion (854,911,106) ED visits, of which 4.2% were made by patients with cancer.
You’re a senior author on this article in JPSM, where you interviewed some geriatricians and other people caring for older adults, nurse practitioners, socialworkers, et cetera. Brad: I completely forgot about that. That’s great. Alex: That was great. We were co-fellows about 100 years ago. Juliet: It was great.
Anyway, we resuscitated him as best we could, stayed in the ICU, and then ended up in a nursing home. We’ve resuscitated people. And it bothers me how the nurses are there, the physical therapists are there, some of the socialworkers are there. And some of them are the ways in which we keep people alive.
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