Sean Morrison

speaker
515 appearances 4 recordings 1 series first heard Apr 2017 last heard Mar 2022

Sean Morrison’s voice in public audio — every appearance, attributed to the second.

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And I think that is very different than what we talk about as a public health advanced care planning, which is a relatively non-sophisticated approach to decision making in people who range from the worried well to the actively dying.
And
If you were to tell me that my intervention was going to do sophisticated communication skills training with every healthcare worker so that they have these discussions, I'm behind you on that one.
But that's not what the ACP literature is.
And Eric, again, I'm older than you are.
In fact, I remember Eric when he was a resident here.
But that same point was being made back in 1995 when I first published on advanced directives.
And 30 years later, after all of that research, we're still making that point.
And we still
It's so interesting because I'm responding to the letters to the editor, and somebody just made that.
I got a late letter, and somebody just made that point.
So let me respond to that in a couple of ways.
I think what is so difficult about...
advanced care planning, is that fundamentally, we believe it should work.
That at a fundamental level, we have such faith in it that it needs to work.
And what you said, Anne, that we can all remember distinctly situations where it was helpful.
And yet, and this is the big issue, and yet, when we actually look at
good research that not just looks at you know the situations where we found that it we think it's a good thing but we actually look and you know unfortunately there's a lot of it it's not like it's one or two studies there's a lot there is nothing in that that says that it's beneficial for the majority of people or even and i use the s word really a significant minority
And so that comes up against this fundamental belief that we have that says, well, I can't be wrong because this is, it makes so much sense.
This makes so much sense.
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