41%-20" 17%-dc poor outcome sepsis creatinine> 1.5 metastatic cancer dementia dependent status cancer-6.7% (2.2 in ICU), decreased function dialysis-14%,

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Presentation transcript:

41%-20" 17%-dc poor outcome sepsis creatinine> 1.5 metastatic cancer dementia dependent status cancer-6.7% (2.2 in ICU), decreased function dialysis-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 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 agreement CPR applies only to... fractional CPR

establish a plan