Identifying patients who have poor prognosis

This podcast features Naomi Diehl introducing a talk from the College of Intensive Care Medicine Annual Scientific Meeting in Sydney, where the theme was ICU gastroenterology. A/Professor Neil Orford discusses identifying patients with a poor prognosis, refining the question to focus on patients in the acute health setting with a high risk of dying in the next year, and why this question is important. He shares a case study of a patient named Keith to illustrate shared decision-making. He also touches on frailty and other criteria for identifying high-risk patients, as well as the iValidate program designed to improve patient-centered discussions. A question and answer session follows, addressing time constraints for physicians and the role of intensivists versus palliative care in end-of-life discussions.