Advance Directives

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August 29, 2017
Ensuring that patients’ wishes about their care are respected has long been a priority for post-acute and long-term care (PA/LTC) practitioners. “ Standardizing Protection of Patients' Rights From POLST to MOELI (Medical Orders for End-of-Life...
August 14, 2017
The 90-year-old woman in the San Diego-area nursing home was quite clear, said Dr. Karl Steinberg. She didn’t want aggressive measures to prolong her life. If her heart stopped, she didn’t want CPR. But when Steinberg, a palliative care physician,...
Current, concise, and readable - "Medical Direction in the Nursing Home: Principles and Concepts for Physician-Administrators" serves as a valuable guide and resource for the medical director and deserves a place in the nursing home library. This...
May 15, 2017
Programs that encourage advance care planning have shown positive results, including increased palliative care referrals, improved end-of-life care, and fewer unnecessary hospitalizations. Now a new study in JAMDA suggests that nursing home...
PURPOSE The purpose of this White Paper is to highlight the importance of Advance Care Planning conversations and informed medical decision-making in the PA/LTC setting. Additionally, the White Paper will serve to delineate the prerequisites and key...
October 14, 2016
A study of elderly patients' end-of-life forms found that 69% had at least one section left blank, and 14% indicated the patient wanted comfort measures only, but also that they wanted be sent to the hospital, receive intravenous fluids, and/or...
October 4, 2016
Physicians' Orders for Life-Sustaining Treatments, or POLST, forms often are seen as a way to honor the end-of-life wishes of frail elderly individuals when they no longer can speak for themselves. A study published last week in the Journal of the...
Beginning January 1, 2016, the Centers for Medicare & Medicaid Services (CMS) began reimbursing for time spent discussing advance care planning with patients. The two new current procedural technology (CPT) advanced care planning codes (ACP) (...