Core IM | Internal Medicine Podcast #89 Code Status: At the Bedside Segment
Sep 12, 2021
Physicians discuss nuanced code status conversations, including information gathering, informed consent, giving recommendations, and avoiding mistakes. They emphasize the importance of shared decision making, documentation, and respectful conversations with patients about goals of care.
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Information Gathering Approach
- For stable patients, confirm documented wishes or a full code status for healthy individuals.
- Briefly explore prior thoughts on code status for deeper discussions later.
Guiding Stable Patients
- Keep the conversation simple and provide clear guidance to stable, healthy patients.
- Recommend CPR if you believe it could be beneficial, explaining your reasoning.
Respecting Documented Wishes
- Don't restart the code status conversation from scratch if a patient has already documented their wishes.
- Confirm their existing plan and explain that it will continue, easing their burden.