Rachelle Bernacki
speaker
424 appearances
3 recordings
1 series
first heard Mar 2019
last heard Dec 2021
Rachelle Bernacki’s voice in public audio — every appearance, attributed to the second.
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Appearances
Like when someone comes in and is really short of breath and they haven't had a conversation about intubation before and maybe the patient has, you know, a lot of comorbidities or is very frail and and they feel like they can't really have a good conversation and we're not always right there in the E D.
So
I think I can take that one.
Um
I struggled with this.
I just want to name it, like really struggled.
Um our team, you know, especially seeing patients on the floor.
It was really hard because our normal sort of way of doing palliative care consults is to get to know the patient, kind of understand what they want, and then later make recommendations.
And there's a way that in this circumstance that can feel like you should be making a recommendation earlier.
um potentially for DNR or for d for not intubating and um
This is one of those times when I feel like uh our team kind of really sat down at the end of the every consultation and s kind of did this quality improvement process with the conversation and said, Did that feel right?
Was that the right thing to do?
Um
And so I think where I came to at the end of I was just done and passed off the service to Josh this week.
Um
Is that we did make recommendations.
We said things like, you know, most patients get better on their own, because a lot of the patients I'm seeing on the floor are in a couple of liters of oxygen.
And but yet at the same time they're I know they're really frail because we've done a really good functional step assessment and I'm worried about their kind of long term outcome.
And so we had been saying this like
I hope you know, I hope they continue to do well, but I'm worried that they could get really sick really quickly and may even die from this and
Showing 141–160 of 424 · page 8 of 22
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