before i die - advance care planning
DESCRIPTION
TRANSCRIPT
![Page 1: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/1.jpg)
Christian Sinclair, MD, FAAHPMNational Hospice Medical DirectorGentiva Hospice
![Page 2: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/2.jpg)
![Page 3: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/3.jpg)
![Page 4: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/4.jpg)
![Page 5: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/5.jpg)
![Page 6: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/6.jpg)
![Page 7: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/7.jpg)
![Page 8: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/8.jpg)
![Page 9: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/9.jpg)
Before I Die walls
![Page 10: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/10.jpg)
Say It – Lien Foundation
![Page 11: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/11.jpg)
Before I Die walls
![Page 12: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/12.jpg)
Before I Die walls
![Page 13: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/13.jpg)
Before I Die walls
![Page 14: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/14.jpg)
Before I Die walls
![Page 18: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/18.jpg)
Obitcheery
![Page 20: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/20.jpg)
![Page 21: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/21.jpg)
![Page 22: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/22.jpg)
![Page 23: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/23.jpg)
Caring Conversations – Center for Practical Bioethics
![Page 24: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/24.jpg)
Caring Conversations – Center for Practical Bioethics
![Page 25: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/25.jpg)
Caring Conversations – Center for Practical Bioethics
![Page 26: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/26.jpg)
Caring Conversations – Center for Practical Bioethics
![Page 27: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/27.jpg)
Caring Conversations – Center for Practical Bioethics
![Page 28: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/28.jpg)
Caring Conversations – Center for Practical Bioethics
![Page 29: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/29.jpg)
National Healthcare Decisions Day - Facebook Page
![Page 30: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/30.jpg)
National Healthcare Decisions Day - Facebook Page
![Page 31: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/31.jpg)
National Healthcare Decisions Day - Facebook Page
![Page 32: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/32.jpg)
National Healthcare Decisions Day - Facebook Page
![Page 33: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/33.jpg)
National Healthcare Decisions Day - Facebook Page
![Page 34: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/34.jpg)
• `
Patrick et al. Ann Intern Med 1997;127:509-17.
![Page 35: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/35.jpg)
Prefer CPR if…
Patrick et al. Ann Intern Med 1997;127:509-17.
![Page 36: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/36.jpg)
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
![Page 37: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/37.jpg)
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
![Page 38: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/38.jpg)
Center to Advance Palliative Care
![Page 39: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/39.jpg)
![Page 40: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/40.jpg)
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?
![Page 41: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/41.jpg)
I Love You Forgiveness
Thank You Good-Bye
The Four Things That Matter Most – Ira Byock, MD
![Page 42: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/42.jpg)
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
![Page 43: Before I Die - Advance Care Planning](https://reader036.vdocuments.site/reader036/viewer/2022070301/545801cdaf79592b448b5262/html5/thumbnails/43.jpg)
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.