41%-20" 17%-dc poor outcome sepsis creatinine> 1.5 metastatic cancer dementia dependent status...

17

Transcript of 41%-20" 17%-dc poor outcome sepsis creatinine> 1.5 metastatic cancer dementia dependent status...

41%-20"17%-dcpoor outcomesepsiscreatinine> 1.5metastatic cancerdementiadependent statuscancer-6.7% (2.2 in ICU), decreased functiondialysis-14%, 3% 6 months

in context of larger goals of care

establish the setting

introduce

what does the patient and family know?

who talks here?

what does the patient expect? say this goals important clarify explain

discuss DNAR

discuss DNAR

if you should die in spite of all our efforts, do you want us to use heroic measures to try to reverse death?

if mutual agreementCPR applies only to...fractional CPR

establish a plan