Elizabeth Eckstrom
speaker
60 appearances
1 recordings
1 series
first heard Feb 2019
last heard Feb 2019
Elizabeth Eckstrom’s voice in public audio — every appearance, attributed to the second.
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Appearances
I want to be sure I'm able to record those now.
And so we tend to do the PULSE form then.
And it might be five years later that they actually reach the end of life.
And we're now, you know, there's been quite a big gap and we want to follow their wishes as best as possible.
But sometimes, and I try to be pretty specific with my patients that I want to complete a PULSE form.
If they're fairly clear, they would want to limit treatment.
You know, if somebody says, oh, I want to be full code, give me the tubes, give me everything.
they don't really need a PULST, right?
Because that's what they're gonna get anyway.
So if somebody wants to have very aggressive treatment, I typically don't complete a PULST with them because that's the default, that's what they're gonna get.
But when somebody says, I've lived a good life, I wanna be kept comfortable, I wanna maintain quality of life as best as possible,
but I don't want all of these heroic measures.
That's when we get out the pulse and we fill it out and really make sure that we can honor those wishes to limit treatment and provide optimal care, but not necessarily some of those aggressive treatments that the person has very clearly said they don't want.
Yeah, I think a lot of people who are in that situation are thinking about the future.
They are thinking about what might happen as they get closer to the end.
And we certainly do counsel that, now would you be okay with this if something happened tonight?
Is this still what you would want if something happened tonight?
And if they're not okay with it for tonight, we say, okay, let's put this on hold and
Let's fill out how you want it to be now, but then make sure that your surrogate decision maker understands how your wishes might change.
That happens a fair bit, actually.
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