Hospice and the Transgendered
June 12, 2013
by: Robert Killeen MD Hospice is beset by many societal obstacles in its care of the transgendered patient. I saw…
Prognostic Disclosure and Other Palliative Care Needs in Dialysis Patients
June 7, 2013
“Doctors are terrible at prognostication.” This is a line that I often hear from other doctors in clinical practice. While…
Clinical Trials Discriminate Against Older Persons with Diabetes
June 3, 2013
by: Ken Covinsky (@geri_doc) Over half of persons with type 2 Diabetes are over the age of 65. You would…
When Not to Follow an Advance Directive
May 27, 2013
by: Eric Widera (@ewidera) An 85-year-old woman with moderate Alzheimer’s disease who enjoys walking in her nursing home’s garden with…
CPR Discussions and Harm Reduction
May 26, 2013
By: Bree Johnston One issue that I think we have not examined sufficiently is the impact that repeated discussions about…
Discussing CPR: What Makes It So Different?
May 24, 2013
by: Josh Lakin, MD Palliative Care Fellow, UCSF This week has been full of active discussion around “the code”. As…
What Is A “Natural” Death, Anyway?
May 23, 2013
by: Alex Smith, @alexsmithMD Eric kicked off the week posting about a study comparing use of the phrase “Allow Natural…
The Clinician as the Choice Architect – Nudging an Informed Choice About CPR
May 23, 2013
by: Eric Widera (@ewidera) In the first two posts of “code discussion week” we talked about how preferences for cardiopulmonary…
Changing the Default Code Status to DNR for Seriously Ill Patients
May 21, 2013
by: Alex Smith @alexsmithMD What if the above form was the default for patients with serious illness? Most current advance directive…
It’s all in the Framing: How to Influence Surrogates’ Code Status Decisions
May 20, 2013
by: Eric Widera (@ewidera) We intuitively know that the words we choose when talking about whether or not to attempt…