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

GeriPal

Alex: Today we’re delighted to have Corita Grudzen, who is an emergency medicine physician and she’s at Memorial Sloan Kettering. And we have Kate Courtright, who’s at University of Pennsylvania, the PAIR Center. Eric: And who are the patients including in this trial, again? Kate: These are very sick patients.

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

GeriPal

Summary Transcript CME Summary Early in my research career, I was fascinated by the (then) frontier area of palliative care in the emergency department. 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?

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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal

The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients. Bernie Lo discloses being an Honorarium Recipient and consultant for Takeda starting on 01/23/2024.

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Allowing Patients to Die: Louise Aronson and Bill Andereck

GeriPal

And Bill Andereck is still haunted by the decision he made to have the police break down the door to rescue his patient who attempted suicide in the 1980s, as detailed in this essay in the Cambridge Quarterly of HealthCare Ethics. And he’s also chaired the California Pacific Medical Center’s ethics committee since 1985.

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

GeriPal

We see our patients and our families throughout the illness trajectory into the hospital. And maybe we should have more patient-centered conversations. We want to do meaningful work and so we want to know that the conversations we have impact patient care. Eric: Well, how about just with the debate? We see how hard it is.

Illness 98