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Physician Orders for Life-Sustaining Treatment Paradigm Has Pitfalls

By Ferdinando L. Mirarchi, DO, FAAEM, FACEP | on May 14, 2015 | 1 Comment
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ACEP Now: Vol 34 – No 05 – May 2015

Pages: 1 2 3 | Single Page

Topics: End-of-LifePalliative CarePOLSTPractice TrendsQuality

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One Response to “Physician Orders for Life-Sustaining Treatment Paradigm Has Pitfalls”

  1. June 12, 2015

    Jo Kline Cebuhar, J.D. Reply

    I believe Dr. Mirarchi’s own research and the other issues relating to the management of critical and end-of-life care that he addresses clearly demonstrate that the key to giving care that respects the patient’s preferences as well as the realities of our health care system is all about EDUCATION and COMMUNICATION. No single form–Living Will, Durable Power of Attorney for Healthcare or POLST–can, in and of itself, substitute for meaningful physician/patient/proxy conversations. Identifying patient goals and engaging in constructive and timely shared decision making is the answer–not another one-size-fits-all form. Keep up the good work, Dr. Mirarchi!

    Jo Kline Cebuhar, J.D.
    author of
    2015 Edition
    The practical guide to
    Health Care Advance Directives

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