before i die - advance care planning
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Christian Sinclair, MD, FAAHPMNational Hospice Medical DirectorGentiva Hospice
Before I Die walls
Say It – Lien Foundation
Before I Die walls
Before I Die walls
Before I Die walls
Before I Die walls
Before I Die walls
Before I Die walls
Before I Die walls
Obitcheery
QR Memorials
Caring Conversations – Center for Practical Bioethics
Caring Conversations – Center for Practical Bioethics
Caring Conversations – Center for Practical Bioethics
Caring Conversations – Center for Practical Bioethics
Caring Conversations – Center for Practical Bioethics
Caring Conversations – Center for Practical Bioethics
National Healthcare Decisions Day - Facebook Page
National Healthcare Decisions Day - Facebook Page
National Healthcare Decisions Day - Facebook Page
National Healthcare Decisions Day - Facebook Page
National Healthcare Decisions Day - Facebook Page
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Patrick et al. Ann Intern Med 1997;127:509-17.
Prefer CPR if…
Patrick et al. Ann Intern Med 1997;127:509-17.
Advance Directives – Medical• Preferences and Goals– Living Will– Five Wishes– Caring Conversations
• Surrogate Decision Maker– HC DPOA– Next of Kin (default)
• Physician’s Orders– Do Not Attempt Resuscitation– TPOPP
TPOPP
• Transportable Physician Orders for Patient Preference
• POLST Paradigm• Pilot Clinic in Topeka• Beginning roll out in Kansas/Missouri• Sandy Silva – Center for Practical Bioethics
Center to Advance Palliative Care
Challenging Conversations
• Infinite number of what if scenarios• Ask about values• Listen for the distractions• Listen for the humor• Ask about a good death• Ask about a bad death• What is important to you• Who is important to you?
I Love You Forgiveness
Thank You Good-Bye
The Four Things That Matter Most – Ira Byock, MD
Resources
• A Good Death photos essay – New York Times• Death Café• Death Over Dinner• Before I Die walls• Obitcheery• QR Memorial• The Conversation Project• National Health Care Decisions Day – April 16th• Center to Advance Palliative Care
Good Reads
• The Four Things That Matter Most – Ira Byock• The Signal and The Noise: Why some
predictions fail and others don’t – Nate Silver• AHRQ – Advance Care Planning• Patrick et al. Validation of preferences for life-
sustaining treatment: implications for advance care planning. Ann Intern Med 1997;127:509-17.