Jim Wright
speaker
217 appearances
1 recordings
1 series
first heard Apr 2020
last heard Apr 2020
Jim Wright’s voice in public audio — every appearance, attributed to the second.
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Appearances
She works for a local hospital group.
She's volunteered with me almost every day for the past week and a half.
So that's been helpful as well.
So staffing, that was a big, big challenge.
Yeah, so we discovered early on that the big things that we were behind on,
were really drilling down in advanced care planning discussions to what would you want for your loved one if they were to worsen with COVID and end up with this COVID pneumonia, viral pneumonia.
It's a very specific ACP discussion.
It is not your usual ACP discussion about whether you want feeding tube, whether you want to do things as someone is declining over a period of months to years.
It is a discussion about what you would want to do if your relative was well today but dying tomorrow.
And
We've ended up with a few points, talking points, which I put out on a lessons learned sheet that has been posted on AMDA's website.
Some talking points that you can do a quick review.
COVID ACP discussion in about 10 to 15 minutes.
And we've even had some discussion about a limited, a time-limited ACP, a time-limited DNR slash do not hospitalize order.
that's specific to COVID.
And our talking points are basically, COVID can be fatal, especially for folks in their 70s and 80s.
The only thing that the hospital can offer that we cannot offer is mechanical ventilation.
And we have enough experience now to talk about this.
Our experience as well as studies show that once an elder is at the point where they need mechanical ventilation, they typically do not survive more than 48 to 72 hours.
And that's certainly been our experience.
Showing 61–80 of 217 · page 4 of 11
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