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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. Alex: Recently you talked about the other trial, also with a nudge, and that was non-cancer, serious illness. Emergency rooms. Eric: So let’s talk about the emergency room.

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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal

Alex: Bernie, as you were talking earlier and praising the generations of doctors today who have training in palliative care and able to have these complex communications with family members, including forming a relationship really quickly with them, getting to know their loved one, who’s now seriously ill, who they may not have met before.

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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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