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Christian Sinclair, MD, FAAHPM
National Hospice Medical Director
Gentiva 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-Bye

The 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.

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Before I Die - Advance Care Planning

Notas del editor

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