Clinical Challenges in Surgical Palliative Care: The Family Meeting, Code Status and Goals of Care

Behind The Knife: The Surgery Podcast

Science, Health & Fitness, Medicine, Education

4.8 • 1.4K Ratings

🗓️ 16 August 2021

⏱️ 37 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Welcome to the first of a six-part series focused on the integration of palliative care into the practice of surgery. Dr. Geoffrey Dunn defines Surgical Palliative Care as “the treatment of suffering and the promotion of quality of life for seriously ill or terminally ill patients under surgical care.” He has proposed that the Family Meeting is like a surgical procedure in which we “Prepare, Do and Close.” Using the case of a geriatric trauma patient in multi-system organ failure, in this episode we discuss how to run a family meeting, how to discuss code status and how to discuss goals of care.

Family Meeting:
Fast Fact #16: Moderating the Family Meeting
https://www.mypcnow.org/fast-fact/moderating-an-end-of-life-family-conference/

Fast Fact #222: The Family Meeting Part 1- Preparing
https://www.mypcnow.org/fast-fact/the-family-meeting-part-1-preparing/

Fast Fact #223: The Family Meeting Part 2- Starting the Conversation
https://www.mypcnow.org/fast-fact/the-family-meeting-part-2-starting-the-conversation/

Fast Fact #227: The Family Meeting Part 6- Goal Setting and Future Planning
https://www.mypcnow.org/fast-fact/the-family-meeting-part-6-goal-setting-and-future-planning/

In-hospital CPR:
CPR in adults in the hospital: a report of 14720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation
https://pubmed.ncbi.nlm.nih.gov/12969608/

Development and validation of the good outcome following attempted resuscitation (GO-FAR) score to predict neurologically intact survival after in-hospital cardiopulmonary resuscitation
https://pubmed.ncbi.nlm.nih.gov/24018585/

Dr. Red Hoffman (@redmdnd) is an acute care surgeon and associate hospice medical director in Asheville, North Carolina, host of the Surgical Palliative Care Podcast (@surgpallcare) and co-founder of the recently launched Surgical Palliative Care Society (www.spcsociety.org).

Dr. Fabian Johnston (@fabianjohnston) is Associate Professor of Surgery and Oncology and Chief, Division of GI Surgical Oncology at Johns Hopkins University.

Dr. Amanda Stastny (@manda_plez) is a PGY-2 in the General Surgery program at Mountain Area Health Education Center (MAHEC) in Asheville, NC.

FELLOWSHIP APPLICATION: https://docs.google.com/forms/d/e/1FAIpQLSfxhjxgCE9Ek263XuGkpqqbaNiK9sVnu3M7_LFYUZxhr38SZw/viewform

Want to win a free Behind the Knife ABSITE review book? Simply leave us a review on Apple Podcasts before September 1st and you will be entered into the drawing. Be sure to include your Twitter or Instagram handle in the review. Or email us at [email protected] to let us know that you showed BTK some love. DOMINATE THE DAY!

Transcript

Click on a timestamp to play from that location

0:00.0	Jimmy was chuffed with his new Italian scooter.
0:02.8	However, he was even more chuffed
0:04.8	that he bought it on his Barclay card.
0:06.5	Because when things didn't quite go to plan.
0:10.2	He had protection and could claim back on his purchase.
0:13.0	You'll be up and running in no time, Jimmy.
0:15.2	What you buy is your business.
0:16.9	Giving you purchase protection is ours.
0:19.2	Search Barclay card protection to find out more
0:21.2	about how we protect your purchases.
0:22.9	Barclay card, make money work for you.
0:25.0	28.9% APR variables, subject to application,
0:27.5	financial circumstances and borrowing history.
0:30.0	Behind the knife, the surgery podcast,
0:33.2	where we take a behind the scenes intimate look
0:35.4	at surgery from leaders in the field.
0:37.6	Behind the knife listeners, this is Patrick Georgeoff.
0:45.2	And I wanted to let you know that we are giving away free
0:57.0	behind the knife, app site review books.
0:59.6	To be entered into our drawing, all you need to do
1:01.8	is to leave behind the knife a review on Apple podcasts
1:05.0	and include your Twitter or Instagram handle.
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from Behind The Knife: The Surgery Podcast, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Behind The Knife: The Surgery Podcast and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.