Sunday, December 20, 2020
GeriPal, a geriatrics and palliative care blog, has released a podcast, Guardianship and End-of-Life Decision Making: A Podcast with Andy Cohen and Liz Dzeng, discussing a recent study led by Dr. Cohen.
The big surprise finding of this study was veterans who were nursing home residents aged 65 and older with moderate to severe dementia and who had a professional guardian were no more likely to receive high‐intensity treatments than the same population who died with decision makers who were not professional guardians. We talk to Andy about his study, potential reasons behind the study, and what, if anything, we should do differently knowing these results. We also talk to Liz about whether substituted judgement is really all that it’s cracked up to be.
The article, Guardianship and End‐of‐Life Care for Veterans with Dementia in Nursing Homes and editorial, We Need a Paradigm Shift Around End‐of‐Life Decision Making, are available here and here.