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Part I: Emergency Medicine
High Yield Approach to the ED Goals of Care Conversation
A Palliative Approach to End Stage COPD
This POLST Makes No Sense
Treating Pain and Prognosticating in Metastatic Cancer
Complex Pain Management and Goals of Care in a Debilitated Cancer Patient
To Intubate or Not to Intubate: Ask the Right Questions
ED Approach to the Hospice patient
Part II: Inpatient Internal Medicine
"We cant let him starve": Artificial Nutrition in Patients with Advanced Dementia
Shared Decision-Making in the Setting of a Large Ischemic Stroke
Prognostication and Goals of Care in Advanced Parkinsons Disease
Saying Yes to Aggressive Measures: The Role of Neuropalliative Care in Critically Ill Patients with Potential for Recovery
"I am a Fighter": Recognizing and Responding to Cancer Metaphors
"What does the awake ventilated patient really want?": Shared-decision making in the ICU
A Mothers Love
Support Despite Disagreeing with Goals of Care
End-Stage Renal Disease and Shared Decision-Making Dilemmas
Discontinuing Continuous Renal Replacement Therapy (CRRT) in the Intensive Care Unit
Teaching Learners How to Approach Family Decisions as a Process
Part III: Surgery
Trach/PEG Consult in the ICU
Rescinding DNR Orders in the Operating Room
A Threshold Moment, Preserving Patient Dignity, and the Value of a Time Limited Trial
Between a Rock and a Hard Place: Anticipating Poor Surgical Outcomes while Honoring Patient Autonomy
Surgery for the Hospice Patient: When is it Appropriate?
Non-Operative Approach To Caring For The Ischemic Limb
Placing a Feeding Tube in a Patient with Dementia
Malignant Bowel Obstruction In A Dying Patient: To Operate Or Not?
Geriatric Trauma Decision-Making Based on Functional Outcomes
Part IV: Specialty Medicine
Decision by Surrogates for a Patient with a Psychiatric History
Palliative Approach to Patients with Concurrent Seriou s Illness and Substance Use Disorder
Responding To Spiritual Suffering And Hope During A Goals Of Care Conversation
Trisomy 18: Early And Concurrent Palliative Care Enhances Delivery And Neonatal Planning
Navigating Colleagues and Parents in the Pediatric ICU.

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