Rebecca Sudore

speaker

816 appearances 5 recordings 1 series first heard May 2017 last heard Mar 2022

Rebecca Sudore’s voice in public audio — every appearance, attributed to the second.

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GeriPal - A Geriatrics and Palliative Medicine Podcast · Advance Care Planning Discussion: Susan Hickman, Sean Morrison, Rebecca Sudore, and Bob Arnold · 24 Mar 2022 podcast

And as we know, oftentimes people show up, you know, to our palliative care ICU family meetings and don't even know that their name was written on a form or they were chosen or even given the opportunity to talk to their family member about, you know, that person's quality of life and what brings life meaning.

great.

All

Well, I think I'll just say with the POLST, just like advanced care planning, and Susan, correct me if I'm wrong here, but I think that the POLST was meant to be updated at every point of care.

So every transition into the hospital, every transition out of the hospital,

And just like advanced directives, right, they should be updated regularly.

And oftentimes these forms aren't.

So I think it's one of those things that I think they can act, to me, I guess they can act like advanced care planning tools.

And if they're used like they're supposed to be, they can also act as a care plan at that moment.

Can I jump in?

And I feel like we've talked about this before, so I don't want to sound like a broken record, but I maybe will sound like a broken record to get back to what is the definition of advanced care planning?

So if we say that the rates of advanced care planning documentation and advanced directives haven't increased,

You know, the public's awareness of advanced care planning or talking about their wishes has increased.

So if people are having more conversations, but less forms, I'm all for that.

You know, and I think the other thing is, you know, when the Patient Self-Determination Act sort of came about,

And, you know, it was all sort of on the heels of these, you know, high profile ICU cases.

But the idea was, as you're saying, Sean, oh, we'll have these forms and we'll have these checkboxes and it will just fix all these problems.

All of these family conflicts, all of these issues related to our health system that's spiraling out of control.

And we I mean, any rational person would say this problem.

form in the absence of huge change is just not going to be able to do that.

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