Advance Care Planning

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August 29, 2017
Ensuring that patients’ wishes about their care are respected has long been a priority for post-acute and long-term care (PA/LTC) practitioners. “ Standardizing Protection of Patients' Rights From POLST to MOELI (Medical Orders for End-of-Life...
August 14, 2017
The 90-year-old woman in the San Diego-area nursing home was quite clear, said Dr. Karl Steinberg. She didn’t want aggressive measures to prolong her life. If her heart stopped, she didn’t want CPR. But when Steinberg, a palliative care physician,...
Current, concise, and readable - "Medical Direction in the Nursing Home: Principles and Concepts for Physician-Administrators" serves as a valuable guide and resource for the medical director and deserves a place in the nursing home library. This...
May 17, 2017
A fresh look at how Do-Not-Hospitalize (DNH) orders affect the movement of skilled nursing care residents shows those residents with such directives experienced significantly fewer transfers to hospitals or emergency departments (EDs). Report...
May 15, 2017
Programs that encourage advance care planning have shown positive results, including increased palliative care referrals, improved end-of-life care, and fewer unnecessary hospitalizations. Now a new study in JAMDA suggests that nursing home...
PURPOSE The purpose of this White Paper is to highlight the importance of Advance Care Planning conversations and informed medical decision-making in the PA/LTC setting. Additionally, the White Paper will serve to delineate the prerequisites and key...
October 14, 2016
A study of elderly patients' end-of-life forms found that 69% had at least one section left blank, and 14% indicated the patient wanted comfort measures only, but also that they wanted be sent to the hospital, receive intravenous fluids, and/or...
October 4, 2016
Physicians' Orders for Life-Sustaining Treatments, or POLST, forms often are seen as a way to honor the end-of-life wishes of frail elderly individuals when they no longer can speak for themselves. A study published last week in the Journal of the...