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Medical Malpractice Insights: Speaking in “Code”

EMDocs

Chuck Pilcher, MD, FACEP Editor, Medical Malpractice Insights Editor, Med Mal Insights Speaking in “Code” Discussing resuscitation options with patients nearing end of life “A kinder, gentler approach would benefit everyone.” “Code,” “No Code,” “CPR,” “resuscitation,” etc.

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The Latest in Critical Care, 3/11/24 (Issue #33)

PulmCCM

About 544,000 99292 codes were billed to CMS in 2021, according to ACCP , reportedly stable at about 10% of the total bills. There was no difference in rate of discharge to hospice (6.8% for likelier hospice discharge after automatic palliative care consultation. At about $100 per , they would be worth ~$54 million in total.

Hospice 52
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Grand Rounds Recap 2.15.23

Taming the SRU

STEP-UP Self Physical and Psycological IM-SAFE Illness Medications Stress Alcohol Fatigue Eating Psychological Cognitive Threat/Challenge appraisal: PERCEIVED demands vs. resources Threat appraisal - stress levels excessive, performance impaired – vapor lock (autonomic arousal, tunnel vision, auditory exclusion, loss of time awareness, impaired memory (..)

Hospice 40
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"The crowner hath sat on her and finds it Christian burial." [Hamlet]

Advanced Emergency Nursing from AENJ

All efforts to identify the decedent by hospital staff, law enforcement agencies or social service agencies should be well documented in the medical records. Based upon California Health and Safety Code 102850 and Government Code 27491. Gentle Care Hospice advice (based on Los Angeles County, CA) upon " Death in the Home."

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Friday Reflection 24: I Would Rather Go Back in Time

Sensible Medicine

” I documented those words in my progress note that day. He had declined hospice care until the end and would not even accept “do not resuscitate” status. He was adamant about not wanting screening tests or any medications not necessary to relieve symptoms. Then, everything changed.