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

GeriPal

Kate: So it was an embedded alert in the electronic health record and they just clicked those two answers very quickly. It did not change the frequency of palliative care consultation, the timing of such, ICU mortality, or six-month mortality. Eric: And how did you do that? Eric: So how do you put that all together? Kate: Sounds right.

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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal

Bernie Lo discloses being an Honorarium Recipient and consultant for Takeda starting on 01/23/2024. I think probably you’ve been hospitalists at some point in your life, you do palliative care consultations. They were seriously ill and had a chance to get to know. What words to use? Is the POLST useful?

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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? This is not why I went into emergency medicine. I went into emergency medicine to act. Why is that important in the emergency room?

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Allowing Patients to Die: Louise Aronson and Bill Andereck

GeriPal

You know, she would have had 90 really good years, and she would have just gone into a coma with no blood pressure and died, you know, with, like, a day and a half of illness. So elderly people who aspirated, got pneumonia, had an mi, didn’t get hauled off to the emergency room on an ambulance crew so they could die in the ER.

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Should We Shift from Advance Care Planning to Serious Illness Communication?

GeriPal

Juliet and Rachelle are two of the authors of a recent JAMA viewpoint titled “Shifting to Serious Illness Communication.” . Also see the image below from Alex’s editorial in JAGS , a Venn diagram of advance care planning and serious illness communication. Shifting to Serious Illness Communication. Transcript. What is it?

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‘Not Accountable to Anyone’: As Insurers Issue Denials, Some Patients Run Out of Options

Physician's Weekly

Prior authorization mostly happens behind the scenes, almost always electronically, and nearly all requests are quickly, or even instantly, approved. The Right to Try Act, signed by President Donald Trump in 2018, entitles patients with terminal illnesses to try experimental drugs, but it does not obligate insurance companies to pay for them.