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Core IM | Internal Medicine Podcast

#66 Outpatient Advance Care Planning with COVID19

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.81K Ratings

🗓️ 6 May 2020

⏱️ 30 minutes

🧾️ Download transcript

Summary

How do you navigate new challenges with goals of care with your patients in clinics? Show Notes, Transcript, References: https://www.coreimpodcast.com/2020/05/06/outpatient-advanced-care-planning-during-covid-19/ (https://www.coreimpodcast.com/2020/05/06/outpatient-advanced-care-planning-during-covid-19/) Time Stamps * 01:32 COVID Crisis as an Outpatient and Advance Care Planning (ACP) * 08:06 The virtual visit * 12:44 Vital Talk Mnemonic: “CALMER” * 22:03 Challenges to Outpatient COVID Care * 26:03 Parting Thoughts Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

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0:00.0

There's this feeling in the outpatient world right now of like,

0:02.6

wow, things are very, they're slowing down

0:05.8

because we had to do this weird transition a lot

0:07.8

to telemedicine.

0:08.8

It's been weird.

0:10.0

If you're a full-time outpatient provider,

0:12.6

you're kind of like, what's my role right now?

0:14.4

That's Dr. Mariah Robertson,

0:16.7

a geriatrics fellow at Johns Hopkins and Harvard-Macy Scholar.

0:20.3

She, like many outpatient clinicians, is focusing more and more on advanced care planning with their patients.

0:25.4

As someone who's doing mostly virtual visits right now,

0:28.2

I'm not on the front lines in the hospital with PPE on my face in like sweating and stressed and trying not to get sick and also have this conversation.

0:36.9

So part of me is like, this is my give, like what I can give back to help others in the health care field that are working so hard right now and so part of it is that too it's like come on help me get like help me help me help these people so that they're not dealing with this later when things are like, you know, really scary.

0:54.7

And also at the end of this is like the patient not having to go through that either alone

0:59.2

without their family or confused, you know.

1:02.1

Advanced Care Planning, the process of helping patients plan out their health care if they get sicker, is really hard.

1:08.0

It takes time and effort and practice and skill.

1:11.0

So it's no wonder if falls behind in our normal day-to-day clinic world.

1:16.0

But that's not the world we live in anymore.

1:18.0

Sickness and even death are now a looming possibility for anyone,

1:22.0

and we as clinicians must help prepare our patients for it.

1:25.6

So how can we do so effectively, practically, and sensitively? Hi guys this is Dr Joff from Andry typically a co-host with the at the bedside series, with you here for a special episode on outpatient

...

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