The Curbsiders Internal Medicine Podcast

#295 Advance Your Care Planning with Dr. Rebecca Sudore

Sep 20, 2021
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ANECDOTE

Failure That Shaped Her Work

  • In medical school Rebecca gave a homeless clinic patient wound care instructions she later learned were unreadable.
  • The patient became septic, which propelled Rebecca's focus on health literacy and clearer materials.
INSIGHT

ACP’s Primary Outcome Is Family Relief

  • Advance care planning reduces stress and cognitive burden for surrogates and families.
  • It requires systems, laws, clinicians and community alignment, not just forms.
ADVICE

Acknowledge Fear And Use PREPARE

  • When a patient expresses fear, first acknowledge emotion and ask them to expand on it.
  • If pressed for time, direct patients to the PREPARE website and set follow-up or team-based support.
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