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GeriPal EP339 Caring for the Unrepresented

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Joe Dixon and Yael Zweig are introduced as guests.&quot;,&quot;endTimestamp&quot;:130092},{&quot;id&quot;:&quot;01946c93-ee44-759f-8a80-f9ee1cc7fc10&quot;,&quot;timestamp&quot;:133868,&quot;text&quot;:&quot;The American Geriatric Society position statement is introduced. Discussion about unrepresented older adults begins.&quot;,&quot;endTimestamp&quot;:141720},{&quot;id&quot;:&quot;01946c93-ee44-7c72-8b69-5ca2e1942694&quot;,&quot;timestamp&quot;:149846,&quot;text&quot;:&quot;A song request is made for &#39;All By Myself&#39;. The history of the song is discussed, including its inspiration.&quot;,&quot;endTimestamp&quot;:176686}],&quot;endTimestamp&quot;:328050},{&quot;id&quot;:&quot;01946c93-ee44-73f6-80c4-783c43b16c65&quot;,&quot;timestamp&quot;:328050,&quot;title&quot;:&quot;Terminology Update for Patient Advocacy&quot;,&quot;duration&quot;:260656,&quot;moments&quot;:[{&quot;id&quot;:&quot;01946c93-ee44-74c4-8cab-f2c6d84db88d&quot;,&quot;timestamp&quot;:328050,&quot;text&quot;:&quot;The terminology shift from &#39;unbefriended&#39; to &#39;unrepresented&#39; is discussed. Anecdotal patient reactions to the previous term highlight the need for change.&quot;,&quot;endTimestamp&quot;:371250},{&quot;id&quot;:&quot;01946c93-ee44-7c6c-b6e7-7c7d967c4d94&quot;,&quot;timestamp&quot;:457126,&quot;text&quot;:&quot;The legal origins of the term &#39;unbefriended&#39; are examined. A public response to the terminology prompted a reevaluation of its appropriateness.&quot;,&quot;endTimestamp&quot;:511390},{&quot;id&quot;:&quot;01946c93-ee44-7895-8972-57ae68916699&quot;,&quot;timestamp&quot;:554520,&quot;text&quot;:&quot;The definition of &#39;unrepresented&#39; is clarified. It includes lacking decision-making capacity, an advanced directive, and a surrogate decision maker.&quot;,&quot;endTimestamp&quot;:580558}],&quot;endTimestamp&quot;:588706},{&quot;id&quot;:&quot;01946c93-ee44-7373-bd96-451d129e3516&quot;,&quot;timestamp&quot;:588706,&quot;title&quot;:&quot;Challenges for Unrepresented Patients&quot;,&quot;duration&quot;:295974,&quot;moments&quot;:[{&quot;id&quot;:&quot;01946c93-ee44-789c-af07-36ad56dcd502&quot;,&quot;timestamp&quot;:590002,&quot;text&quot;:&quot;The definition of unrepresented individuals is clarified. It is emphasized that decisional capacity is specific to each medical treatment.&quot;,&quot;endTimestamp&quot;:609890},{&quot;id&quot;:&quot;01946c93-ee44-74c9-afdc-fabb47dfccc9&quot;,&quot;timestamp&quot;:652200,&quot;text&quot;:&quot;Variability in state laws regarding healthcare proxies is discussed. The importance of advocating for uniformity across states is highlighted.&quot;,&quot;endTimestamp&quot;:675810},{&quot;id&quot;:&quot;01946c93-ee44-7193-b381-96350c4bcfda&quot;,&quot;timestamp&quot;:780868,&quot;text&quot;:&quot;The challenges of identifying surrogates for unrepresented patients are examined. A social worker&#39;s success in finding surrogates is noted, emphasizing the need for thorough investigation.&quot;,&quot;endTimestamp&quot;:795830}],&quot;endTimestamp&quot;:884680},{&quot;id&quot;:&quot;01946c93-ee44-76d3-a8cb-164169acbd85&quot;,&quot;timestamp&quot;:884680,&quot;title&quot;:&quot;Caring for Unrepresented Individuals&quot;,&quot;duration&quot;:219860,&quot;moments&quot;:[{&quot;id&quot;:&quot;01946c93-ee44-7d4c-bef0-c262db8d8bfd&quot;,&quot;timestamp&quot;:904980,&quot;text&quot;:&quot;Estimates of unrepresented individuals are discussed. A range of 70,000 to 330,000 is mentioned.&quot;,&quot;endTimestamp&quot;:924110},{&quot;id&quot;:&quot;01946c93-ee44-767e-86e1-4083bdd1104f&quot;,&quot;timestamp&quot;:931822,&quot;text&quot;:&quot;The impact of an aging population is highlighted. 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Questions about the patient&#39;s daily life and preferences are suggested for better understanding.&quot;,&quot;endTimestamp&quot;:1397140}],&quot;endTimestamp&quot;:1411970},{&quot;id&quot;:&quot;01946c93-ee44-7b8e-811f-0d7188e975c0&quot;,&quot;timestamp&quot;:1411970,&quot;title&quot;:&quot;Assessing Patient Capacity Accurately&quot;,&quot;duration&quot;:239240,&quot;moments&quot;:[{&quot;id&quot;:&quot;01946c93-ee44-787e-9c40-3821bc364392&quot;,&quot;timestamp&quot;:1438466,&quot;text&quot;:&quot;The importance of assessing patient capacity is emphasized. Structured assessments are recommended to ensure accurate evaluations.&quot;,&quot;endTimestamp&quot;:1449194},{&quot;id&quot;:&quot;01946c93-ee44-7a27-94e5-fc82b2821f4d&quot;,&quot;timestamp&quot;:1464236,&quot;text&quot;:&quot;Different assessment tools for capacity evaluation are discussed. The Assessment of Capacity evaluation form and Med Sale scenarios are mentioned.&quot;,&quot;endTimestamp&quot;:1499216},{&quot;id&quot;:&quot;01946c93-ee44-7025-a14b-0a1b870ee139&quot;,&quot;timestamp&quot;:1603062,&quot;text&quot;:&quot;The role of speech language pathologists in communication is highlighted. Their contributions can significantly aid in patient interactions, especially when patients are intubated.&quot;,&quot;endTimestamp&quot;:1613750}],&quot;endTimestamp&quot;:1651210},{&quot;id&quot;:&quot;01946c93-ee44-762a-bbec-c1aff7f8a155&quot;,&quot;timestamp&quot;:1651210,&quot;title&quot;:&quot;Ethical Challenges in Critical Care&quot;,&quot;duration&quot;:356512,&quot;moments&quot;:[{&quot;id&quot;:&quot;01946c93-ee44-7ad9-909c-9a61af11f236&quot;,&quot;timestamp&quot;:1651210,&quot;text&quot;:&quot;The challenges of making decisions for unrepresented patients are discussed. 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The implications of patient protests against treatment decisions are raised.&quot;,&quot;endTimestamp&quot;:2005298}],&quot;endTimestamp&quot;:2007722},{&quot;id&quot;:&quot;01946c93-ee44-70cb-b00d-80f75a8e9c4f&quot;,&quot;timestamp&quot;:2007722,&quot;title&quot;:&quot;Outpatient Management Strategies&quot;,&quot;duration&quot;:296398,&quot;moments&quot;:[{&quot;id&quot;:&quot;01946c93-ee44-76bb-b4a2-c889063b3794&quot;,&quot;timestamp&quot;:2007722,&quot;text&quot;:&quot;Discussion on outpatient settings and prevention strategies occurs. The importance of advance care planning codes is emphasized.&quot;,&quot;endTimestamp&quot;:2072639},{&quot;id&quot;:&quot;01946c93-ee44-75ca-adb0-4671dee5fc3d&quot;,&quot;timestamp&quot;:2135758,&quot;text&quot;:&quot;Creative questioning techniques for patient decision-making are explored. The significance of understanding patient values and support systems is highlighted.&quot;,&quot;endTimestamp&quot;:2178126},{&quot;id&quot;:&quot;01946c93-ee44-7c7c-8fed-5efa69193156&quot;,&quot;timestamp&quot;:2253110,&quot;text&quot;:&quot;The role of healthcare providers in decision-making for unrepresented patients is examined. The necessity of appointing a healthcare proxy is discussed.&quot;,&quot;endTimestamp&quot;:2296360}],&quot;endTimestamp&quot;:2304120},{&quot;id&quot;:&quot;01946c93-ee44-70da-87ea-4789a64831ae&quot;,&quot;timestamp&quot;:2304120,&quot;title&quot;:&quot;Surrogate Laws and Legislative Needs&quot;,&quot;duration&quot;:200070,&quot;moments&quot;:[{&quot;id&quot;:&quot;01946c93-ee44-7d41-a134-4101da9b4a36&quot;,&quot;timestamp&quot;:2304120,&quot;text&quot;:&quot;Discussion centers on surrogate laws varying by state. The complexities of healthcare systems are highlighted.&quot;,&quot;endTimestamp&quot;:2326568},{&quot;id&quot;:&quot;01946c93-ee44-7499-8bce-87479b93a0a3&quot;,&quot;timestamp&quot;:2339160,&quot;text&quot;:&quot;Legislation proposals for healthcare decisions are mentioned. The Health Care Decision Act has been revised in 2023.&quot;,&quot;endTimestamp&quot;:2358178},{&quot;id&quot;:&quot;01946c93-ee44-72af-ac08-0fecf4b3a7e6&quot;,&quot;timestamp&quot;:2433514,&quot;text&quot;:&quot;The importance of social determinants of health screening is emphasized. 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Emphasis is placed on identifying surrogates for patients entering different care settings.&quot;,&quot;endTimestamp&quot;:2588008},{&quot;id&quot;:&quot;01946c93-ee44-77ac-ac94-f2d10bb046ed&quot;,&quot;timestamp&quot;:2595280,&quot;text&quot;:&quot;The importance of training healthcare providers to ask about patient priorities is highlighted. A suggestion is made to incorporate this into health systems for better patient care.&quot;,&quot;endTimestamp&quot;:2601416}],&quot;endTimestamp&quot;:2845600}],&quot;status&quot;:&quot;SUCCESS&quot;,&quot;__typename&quot;:&quot;IntelligenceChapterSection&quot;,&quot;section&quot;:{&quot;title&quot;:&quot;Chapters&quot;}},&quot;summaryTabSections&quot;:[{&quot;data&quot;:{&quot;id&quot;:&quot;38515257-42ce-428d-adc0-cdf7064ad3f4&quot;,&quot;text&quot;:&quot;The American Geriatric Society updates the position statement on medical treatment decisions for unrepresented older adults, featuring insights from geriatricians and nurse practitioners.&quot;},&quot;status&quot;:&quot;SUCCESS&quot;,&quot;__typename&quot;:&quot;IntelligenceTextSection&quot;,&quot;section&quot;:{&quot;title&quot;:&quot;Purpose&quot;}},{&quot;data&quot;:[{&quot;id&quot;:&quot;01946c93-ee44-79ba-9a99-f4778087af03&quot;,&quot;timestamp&quot;:720,&quot;title&quot;:&quot;Guest Introductions and Position Statement&quot;,&quot;duration&quot;:327330,&quot;moments&quot;:[{&quot;id&quot;:&quot;01946c93-ee44-7556-b630-fea57e9f8f3c&quot;,&quot;timestamp&quot;:87350,&quot;text&quot;:&quot;Tim Ferrell shares his excitement about the podcast. Joe Dixon and Yael Zweig are introduced as guests.&quot;,&quot;endTimestamp&quot;:130092},{&quot;id&quot;:&quot;01946c93-ee44-759f-8a80-f9ee1cc7fc10&quot;,&quot;timestamp&quot;:133868,&quot;text&quot;:&quot;The American Geriatric Society position statement is introduced. Discussion about unrepresented older adults begins.&quot;,&quot;endTimestamp&quot;:141720},{&quot;id&quot;:&quot;01946c93-ee44-7c72-8b69-5ca2e1942694&quot;,&quot;timestamp&quot;:149846,&quot;text&quot;:&quot;A song request is made for &#39;All By Myself&#39;. The history of the song is discussed, including its inspiration.&quot;,&quot;endTimestamp&quot;:176686}],&quot;endTimestamp&quot;:328050},{&quot;id&quot;:&quot;01946c93-ee44-73f6-80c4-783c43b16c65&quot;,&quot;timestamp&quot;:328050,&quot;title&quot;:&quot;Terminology Update for Patient Advocacy&quot;,&quot;duration&quot;:260656,&quot;moments&quot;:[{&quot;id&quot;:&quot;01946c93-ee44-74c4-8cab-f2c6d84db88d&quot;,&quot;timestamp&quot;:328050,&quot;text&quot;:&quot;The terminology shift from &#39;unbefriended&#39; to &#39;unrepresented&#39; is discussed. Anecdotal patient reactions to the previous term highlight the need for change.&quot;,&quot;endTimestamp&quot;:371250},{&quot;id&quot;:&quot;01946c93-ee44-7c6c-b6e7-7c7d967c4d94&quot;,&quot;timestamp&quot;:457126,&quot;text&quot;:&quot;The legal origins of the term &#39;unbefriended&#39; are examined. A public response to the terminology prompted a reevaluation of its appropriateness.&quot;,&quot;endTimestamp&quot;:511390},{&quot;id&quot;:&quot;01946c93-ee44-7895-8972-57ae68916699&quot;,&quot;timestamp&quot;:554520,&quot;text&quot;:&quot;The definition of &#39;unrepresented&#39; is clarified. It includes lacking decision-making capacity, an advanced directive, and a surrogate decision maker.&quot;,&quot;endTimestamp&quot;:580558}],&quot;endTimestamp&quot;:588706},{&quot;id&quot;:&quot;01946c93-ee44-7373-bd96-451d129e3516&quot;,&quot;timestamp&quot;:588706,&quot;title&quot;:&quot;Challenges for Unrepresented Patients&quot;,&quot;duration&quot;:295974,&quot;moments&quot;:[{&quot;id&quot;:&quot;01946c93-ee44-789c-af07-36ad56dcd502&quot;,&quot;timestamp&quot;:590002,&quot;text&quot;:&quot;The definition of unrepresented individuals is clarified. 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The implications of patient protests against treatment decisions are raised.&quot;,&quot;endTimestamp&quot;:2005298}],&quot;endTimestamp&quot;:2007722},{&quot;id&quot;:&quot;01946c93-ee44-70cb-b00d-80f75a8e9c4f&quot;,&quot;timestamp&quot;:2007722,&quot;title&quot;:&quot;Outpatient Management Strategies&quot;,&quot;duration&quot;:296398,&quot;moments&quot;:[{&quot;id&quot;:&quot;01946c93-ee44-76bb-b4a2-c889063b3794&quot;,&quot;timestamp&quot;:2007722,&quot;text&quot;:&quot;Discussion on outpatient settings and prevention strategies occurs. The importance of advance care planning codes is emphasized.&quot;,&quot;endTimestamp&quot;:2072639},{&quot;id&quot;:&quot;01946c93-ee44-75ca-adb0-4671dee5fc3d&quot;,&quot;timestamp&quot;:2135758,&quot;text&quot;:&quot;Creative questioning techniques for patient decision-making are explored. The significance of understanding patient values and support systems is highlighted.&quot;,&quot;endTimestamp&quot;:2178126},{&quot;id&quot;:&quot;01946c93-ee44-7c7c-8fed-5efa69193156&quot;,&quot;timestamp&quot;:2253110,&quot;text&quot;:&quot;The role of healthcare providers in decision-making for unrepresented patients is examined. The necessity of appointing a healthcare proxy is discussed.&quot;,&quot;endTimestamp&quot;:2296360}],&quot;endTimestamp&quot;:2304120},{&quot;id&quot;:&quot;01946c93-ee44-70da-87ea-4789a64831ae&quot;,&quot;timestamp&quot;:2304120,&quot;title&quot;:&quot;Surrogate Laws and Legislative Needs&quot;,&quot;duration&quot;:200070,&quot;moments&quot;:[{&quot;id&quot;:&quot;01946c93-ee44-7d41-a134-4101da9b4a36&quot;,&quot;timestamp&quot;:2304120,&quot;text&quot;:&quot;Discussion centers on surrogate laws varying by state. The complexities of healthcare systems are highlighted.&quot;,&quot;endTimestamp&quot;:2326568},{&quot;id&quot;:&quot;01946c93-ee44-7499-8bce-87479b93a0a3&quot;,&quot;timestamp&quot;:2339160,&quot;text&quot;:&quot;Legislation proposals for healthcare decisions are mentioned. The Health Care Decision Act has been revised in 2023.&quot;,&quot;endTimestamp&quot;:2358178},{&quot;id&quot;:&quot;01946c93-ee44-72af-ac08-0fecf4b3a7e6&quot;,&quot;timestamp&quot;:2433514,&quot;text&quot;:&quot;The importance of social determinants of health screening is emphasized. 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Emphasis is placed on identifying surrogates for patients entering different care settings.&quot;,&quot;endTimestamp&quot;:2588008},{&quot;id&quot;:&quot;01946c93-ee44-77ac-ac94-f2d10bb046ed&quot;,&quot;timestamp&quot;:2595280,&quot;text&quot;:&quot;The importance of training healthcare providers to ask about patient priorities is highlighted. A suggestion is made to incorporate this into health systems for better patient care.&quot;,&quot;endTimestamp&quot;:2601416}],&quot;endTimestamp&quot;:2845600}],&quot;status&quot;:&quot;SUCCESS&quot;,&quot;__typename&quot;:&quot;IntelligenceChapterSection&quot;,&quot;section&quot;:{&quot;title&quot;:&quot;Chapters&quot;}},{&quot;data&quot;:[{&quot;id&quot;:&quot;01946c93-1c10-7fe0-adce-a77c7c2aa6e8&quot;,&quot;timestamp&quot;:328050,&quot;text&quot;:&quot;The American Geriatric Society updated the terminology from \&quot;unbefriended\&quot; to \&quot;unrepresented\&quot; to better reflect patient dignity and societal values. This change aims to unify language in research and clinical practice.&quot;,&quot;endTimestamp&quot;:null},{&quot;id&quot;:&quot;01946c93-1c10-7994-85cd-e2ba0218d844&quot;,&quot;timestamp&quot;:558846,&quot;text&quot;:&quot;The definition of \&quot;unrepresented\&quot; includes individuals lacking decision-making capacity, an advanced directive, and a surrogate decision-maker. This highlights the complexity of patient care in geriatrics.&quot;,&quot;endTimestamp&quot;:null},{&quot;id&quot;:&quot;01946c93-1c10-7802-8d7b-76c310370ba5&quot;,&quot;timestamp&quot;:1353940,&quot;text&quot;:&quot;Emphasis on the importance of exploring patients&#39; values and priorities before making decisions. 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