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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Appearances
I think for a person in long-term care who has mild to moderate dementia, a POLST is part of the care plan because these are decisions that are likely to need to be made.
in the setting of the current illness.
I think asking, which we see everybody over the age of 65 to have a pulse, it's advanced.
Susan, don't shake your head.
There we go.
But this is what we see in the real world.
And then it becomes both A, advanced care planning, and B, I'm not sure, very effective advanced care planning.
And again, this is, I think, the conundrum that a lot of us are facing where there's a lot more agreement than disagreement.
In the ideal world, advanced care planning should work.
In the ideal world, pulse should work.
In the ideal world, we should update these on every encounter.
In the real world, we should update these when things change.
And yet...
I don't think anybody's demonstrated to me that that happens or that our patients are advocating for it.
So again, I come back to is it worth the effort when there are so many other problems in healthcare that we need to address?
We published a paper back in 1995
that demonstrated how few advanced directives actually made it into the chart.
And that number hasn't changed 25 plus years later, despite huge efforts.
And so I don't disagree with Susan.
I don't disagree with Rebecca.
Showing 21–40 of 515 · page 2 of 26
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