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

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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. - PowerPoint PPT Presentation

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Page 1: 41%-20" 17%-dc poor outcome sepsis creatinine > 1.5 metastatic cancer dementia dependent status
Page 2: 41%-20" 17%-dc poor outcome sepsis creatinine > 1.5 metastatic cancer dementia dependent status
Page 3: 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

Page 4: 41%-20" 17%-dc poor outcome sepsis creatinine > 1.5 metastatic cancer dementia dependent status
Page 5: 41%-20" 17%-dc poor outcome sepsis creatinine > 1.5 metastatic cancer dementia dependent status

in context of larger goals of care

Page 6: 41%-20" 17%-dc poor outcome sepsis creatinine > 1.5 metastatic cancer dementia dependent status
Page 7: 41%-20" 17%-dc poor outcome sepsis creatinine > 1.5 metastatic cancer dementia dependent status

establish the setting

introduce

Page 8: 41%-20" 17%-dc poor outcome sepsis creatinine > 1.5 metastatic cancer dementia dependent status
Page 9: 41%-20" 17%-dc poor outcome sepsis creatinine > 1.5 metastatic cancer dementia dependent status

what does the patient and family know?

Page 10: 41%-20" 17%-dc poor outcome sepsis creatinine > 1.5 metastatic cancer dementia dependent status
Page 11: 41%-20" 17%-dc poor outcome sepsis creatinine > 1.5 metastatic cancer dementia dependent status

who talks here?

Page 12: 41%-20" 17%-dc poor outcome sepsis creatinine > 1.5 metastatic cancer dementia dependent status

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

Page 13: 41%-20" 17%-dc poor outcome sepsis creatinine > 1.5 metastatic cancer dementia dependent status
Page 14: 41%-20" 17%-dc poor outcome sepsis creatinine > 1.5 metastatic cancer dementia dependent status

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

Page 15: 41%-20" 17%-dc poor outcome sepsis creatinine > 1.5 metastatic cancer dementia dependent status
Page 16: 41%-20" 17%-dc poor outcome sepsis creatinine > 1.5 metastatic cancer dementia dependent status

establish a plan

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