Webinar: The Role of POLST in the Care of People with Dementia

Webinar: The Role of POLST in the Care of People with Dementia 

Tuesday August 27th, 2013

9:00 am to 10 am HST
Noon to 1:00pm  (PT)

Sponsored by: The National POLST Paradigm Task Force

Funded by: The Retirement Research Foundation

Presented by: Ken Brummel-Smith, MD* 

Most POLST forms are completed for patients who have dementia after they have lost the capacity to make decisions for themselves. Typically the conversation about patient wishes takes place with the patient’s surrogate (or proxy) decision-maker. The critical issue in this discussion is to discern, as clearly as possible, what the patient’s wishes would have been if he or she could be involved in the discussion. Part of this presentation will address methods of doing that.

In the last few years, there has been a growing interest in early detection of cognitive impairment and dementia. While advance care planning can certainly occur in the early stage, a POLST discussion would appear to be unwarranted because the patient has not reached the stage of “advanced illness or frailty.” Yet it is only in the early stage that the patient still has the capacity to state his or her viewpoint on treatments that might be needed later in life. The second part of the webinar will address concepts for addressing this dilemma. 

Dr. Brummel-Smith has been a leader in geriatrics for 30 years. He is the Charlotte Edwards Maguire Professor and Chair of the Department of Geriatrics at the Florida State University College of Medicine. He served as chief of the division of geriatrics at two medical schools (University of Southern California and Oregon Health Sciences University). He is a co-editor or author of five textbooks and has written numerous book chapters and articles in the area of geriatrics and geriatric rehabilitation. He also served on the committee to develop the first certification examination for geriatric physicians. He has been selected 11 times by his peers as a member of the “Best Doctors in America.” He was a member of the National Advisory Council on Aging for the National Institute on Aging. He is a past president of the American Geriatrics Society. He is currently a Health and Aging Policy Fellow with the Senate Special Committee on Aging in Washington DC.

He graduated from the University of Southern California School of Medicine, completed a residency in family medicine at Glendale Adventist Medical Center, and a fellowship in the Department of Medical Education at the University of Southern California School of Medicine. He is board certified in Family Medicine and has a Certificate of Added Qualifications in Geriatrics.