Before I Die - Advance Care Planning
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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 Before I Die - Advance Care Planning Presentation Transcript

  • 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
  • • `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-ByeThe 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.