Before I Die - Advance Care Planning

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  • Looking at your own mortality is counterbalanced by doubt, hope, faith
  • Before I Die - Advance Care Planning

    1. 1. Christian Sinclair, MD, FAAHPMNational Hospice Medical DirectorGentiva Hospice
    2. 2. Before I Die walls
    3. 3. Say It – Lien Foundation
    4. 4. Before I Die walls
    5. 5. Before I Die walls
    6. 6. Before I Die walls
    7. 7. Before I Die walls
    8. 8. Before I Die walls
    9. 9. Before I Die walls
    10. 10. Before I Die walls
    11. 11. Obitcheery
    12. 12. QR Memorials
    13. 13. Caring Conversations – Center for Practical Bioethics
    14. 14. Caring Conversations – Center for Practical Bioethics
    15. 15. Caring Conversations – Center for Practical Bioethics
    16. 16. Caring Conversations – Center for Practical Bioethics
    17. 17. Caring Conversations – Center for Practical Bioethics
    18. 18. Caring Conversations – Center for Practical Bioethics
    19. 19. National Healthcare Decisions Day - Facebook Page
    20. 20. National Healthcare Decisions Day - Facebook Page
    21. 21. National Healthcare Decisions Day - Facebook Page
    22. 22. National Healthcare Decisions Day - Facebook Page
    23. 23. National Healthcare Decisions Day - Facebook Page
    24. 24. • `Patrick et al. Ann Intern Med 1997;127:509-17.
    25. 25. Prefer CPR if…Patrick et al. Ann Intern Med 1997;127:509-17.
    26. 26. 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
    27. 27. 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
    28. 28. Center to Advance Palliative Care
    29. 29. 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?
    30. 30. I Love You Forgiveness Thank You Good-ByeThe Four Things That Matter Most – Ira Byock, MD
    31. 31. 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
    32. 32. 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.

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