Zara Cooper
speaker
200 appearances
1 recordings
1 series
first heard Sep 2017
last heard Sep 2017
Zara Cooper’s voice in public audio — every appearance, attributed to the second.
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Appearances
And so, you know, doing some expectation setting is really important and just making sure that everybody's on the same page with that.
And then I think it's really understanding what the patient's overall goals are, just as you would in in almost any setting.
And then talking about the goals specific to the injury or the surgery, um, and what we hope we can achieve, and then you know, describing what
Uh, various treatment options, I think including palliative care, which is a challenge for a lot of surgeons who don't understand what that means, but including just a comfort-focused approach would be.
Um, and then making a recommendation based on how those treatment options can meet the patient's goals and values.
And you know, I think for a lot of patients, if we could be more upfront with them about
the implications for their independence and their function um and pain, um, I think they may make different choices.
Yeah, no, it is the case.
And I think that that one of the things that makes trauma and critical care, but trauma uh, you know, a really perfect incubator for the marriage between JerryPal and surgery is that trauma is by its nature a multidisciplinary practice.
Um, you know, and so unlike many other areas of surgery, um, where it's still, you know, the the surgeon alone is is the captain of the ship in trauma, you know, we lean more heavily on other disciplines, including, you know, in many cases anesthesia for critical care, for example.
And so
Um, you know, and there are also structures and processes of care in place for quality improvement and measurement and standard setting uh that I think lend themselves really nicely to palliative care.
The other thing about trauma is that we do care about the whole patient.
As I said, you know, most of these patients don't get surgery.
Most trauma patients of any age don't get surgery.
And so it's one area of surgery where we are also looking at function and quality of life and rehab.
Um and so and that where we've been doing it for the longest, I should say, um, and not just on geriatric patients.
And so I think that there's a lot of overlap between you know what trauma surgeons do normally and what palliative care and geriatrics can offer.
Um
And one of my one of my goals is to engage and and part of the reason I'm so grateful that you guys had me on is because I'd really love to engage more geriatricians in palliative care in helping us think about the best way to improve quality of life.
Showing 141–160 of 200 · page 8 of 10
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