Before I Die - Advance Care Planning

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  • Looking at your own mortality is counterbalanced by doubt, hope, faith

Transcript

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