February 2021 PMID 33170951

We Need a Paradigm Shift Around End-of-Life Decision Making.

Elizabeth Dzeng, R Sean Morrison

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Mentions

22
Peak: 13 in Nov 2020
across 3 sources since Nov 2020

Extended reach

233,062
potential audience

Total likes

43

Video views

207

Mentions per month

Nov 2020 – Mar 2021

Where it's discussed

  • X / Twitter18 posts
  • Blogs3 articles
  • YouTube1 videos

AI synopsis

What people are saying

The group's discussions reflect strong agreement and high interest, supported by words like 'remarkably practical' and 'a better paradigm', which convey appreciation and enthusiasm. Tone is generally positive and forward-looking, emphasizing the importance of systemic change and deeper engagement with the ideas presented in the article.

AgreementModerate agreement

Many discussions express support for the article's call for a paradigm shift, highlighting the importance of this perspective in improving end-of-life decision making.

InterestHigh interest

The discussions demonstrate high interest, with posts describing the article as 'remarkably practical', 'useful', and emphasizing the need for systemic change.

EngagementModerate engagement

Posts engage with key concepts such as crisis communication, societal impact, and culture change, showing a thoughtful involvement.

ImpactModerate impact

The conversations indicate an acknowledgment of the article’s potential influence in shaping future practices and encouraging a broader discussion on ethical and societal considerations.

Abstract in brief

  • The text argues that current approaches to end-of-life decision making are insufficient and need fundamental changes to better respect patient wishes and improve care.
  • It calls for a new paradigm that emphasizes patient-centered, ethically sound, and collaborative decision processes involving families, healthcare providers, and patients.
  • The goal is to create a more compassionate, effective system that aligns medical actions with individual values and improves quality of life at the end of life.

Top posts

Most liked on X and Bluesky
Louise Aronson
@LouiseAronson · X

Remarkably practical, clear & useful article by @LizDzeng of @UCSFHospitals: a better paradigm for how to approach End‐of‐Life Decision Making especially for solo agers or 'unbefriended' but really for anyone! Thoughts @DianeEMeier @AlexSmithMD @WesElyMD? https://t.co/1hOYFwhtxk

Nov 11, 2020 · 21 likes · 6 shares · 9,469 followers View post →
WesElyMD
@WesElyMD · X

“Advanced Care Planning” is more than just what we want at end-of-life re: ICU care, CPR, vent, etc. & our decisions don’t occur in a vacuum. Personal & societal costs must be considered. Article: https://t.co/TX2I7Pipv7 Ed: https://t.co/I0OUeiGaIe #medtwitter #palliativecare https://t.co/jLsDZ90n1h

Mar 22, 2021 · 15 likes · 2 shares · 57,334 followers View post →
JAGS
@AGSJournal · X

Editorial argues that end of life decision-making needs to focus on crisis communication and culture change as much as advance care planning and advance directives. by @LizDzeng and Sean Morrison. #geriatrics #HAPC https://t.co/4jIjGPUqtm

Nov 12, 2020 · 4 likes · 3 shares · 11,214 followers View post →
UCSF Health
@UCSFHospitals · X

RT @LouiseAronson: Remarkably practical, clear & useful article by @LizDzeng of @UCSFHospitals: a better paradigm for how to approach End‐o…

Nov 12, 2020 · 6 shares · 71,161 followers View post →
American Geriatrics Society
@AmerGeriatrics · X

RT @LouiseAronson: Remarkably practical, clear & useful article by @LizDzeng of @UCSFHospitals: a better paradigm for how to approach End‐o…

Nov 17, 2020 · 6 shares · 26,328 followers View post →
Sapna Kudchadkar, MD, PhD
@SapnaKmd · X

RT @WesElyMD: “Advanced Care Planning” is more than just what we want at end-of-life re: ICU care, CPR, vent, etc. & our decisions don’t oc…

Mar 22, 2021 · 2 shares · 16,805 followers View post →

All mentions

Dr Miguel Coral
@MIGUELCORAL · X

RT @WesElyMD: “Advanced Care Planning” is more than just what we want at end-of-life re: ICU care, CPR, vent, etc. & our decisions don’t oc…

Mar 22, 2021 · 2 shares · 118 followers View post →
Sapna Kudchadkar, MD, PhD
@SapnaKmd · X

RT @WesElyMD: “Advanced Care Planning” is more than just what we want at end-of-life re: ICU care, CPR, vent, etc. & our decisions don’t oc…

Mar 22, 2021 · 2 shares · 16,805 followers View post →
john morley
@drjohnmorley · X

We Need a Paradigm Shift Around End‐of‐Life Decision Making https://t.co/qPJehWtlDy

Mar 22, 2021 · 8,309 followers View post →
WesElyMD
@WesElyMD · X

“Advanced Care Planning” is more than just what we want at end-of-life re: ICU care, CPR, vent, etc. & our decisions don’t occur in a vacuum. Personal & societal costs must be considered. Article: https://t.co/TX2I7Pipv7 Ed: https://t.co/I0OUeiGaIe #medtwitter #palliativecare https://t.co/jLsDZ90n1h

Mar 22, 2021 · 15 likes · 2 shares · 57,334 followers View post →
UCSFHospitalMedicine
@UCSFDHM · X

Elizabeth Dzeng and Sean Morrison published an editorial in the Journal of the American Geriatrics Society arguing that the field of palliative care needs to look beyond advance directives and advance care planning. Read More: https://t.co/ogDM1GQLSw

Jan 13, 2021 · 662 followers View post →
American Geriatrics Society
@AmerGeriatrics · X

RT @LouiseAronson: Remarkably practical, clear & useful article by @LizDzeng of @UCSFHospitals: a better paradigm for how to approach End‐o…

Nov 17, 2020 · 6 shares · 26,328 followers View post →
Jen Hirsch
@jrphirsch · X

I appreciate the argument for a culture change in this editorial. We often focus on individual issues and ignore the system/societal level context. #sociology Curious about other's in #hapc #swhpn thoughts. https://t.co/RYkPAwmS2b

Nov 13, 2020 · 2,183 followers View post →
Johns Hopkins Geriatric Medicine & Gerontology
@JHGeriatrics · X

RT @AGSJournal: Editorial argues that end of life decision-making needs to focus on crisis communication and culture change as much as adva…

Nov 13, 2020 · 3 shares · 3,272 followers View post →
Sandra Shi
@shisadoctor · X

RT @AGSJournal: Editorial argues that end of life decision-making needs to focus on crisis communication and culture change as much as adva…

Nov 12, 2020 · 3 shares · 2,354 followers View post →
Susan DAlessandro (she, her)
@susan_advocate · X

This is a very important piece, editorial in @AGSJournal - We Need a Paradigm Shift Around End‐of‐Life Decision Making Elizabeth Dzeng MD, PhD, MPH R. Sean Morrison MD https://t.co/8HJ5wsePnW

Nov 12, 2020 · 1,540 followers View post →
Liz Dzeng, MD, PhD, MPH, MPhil, MS
@LizDzeng · X

RT @AGSJournal: Editorial argues that end of life decision-making needs to focus on crisis communication and culture change as much as adva…

Nov 12, 2020 · 3 shares · 1,280 followers View post →
JAGS
@AGSJournal · X

Editorial argues that end of life decision-making needs to focus on crisis communication and culture change as much as advance care planning and advance directives. by @LizDzeng and Sean Morrison. #geriatrics #HAPC https://t.co/4jIjGPUqtm

Nov 12, 2020 · 4 likes · 3 shares · 11,214 followers View post →
JAGS
@AGSJournal · X

RT @LouiseAronson: Remarkably practical, clear & useful article by @LizDzeng of @UCSFHospitals: a better paradigm for how to approach End‐o…

Nov 12, 2020 · 6 shares · 11,214 followers View post →
UCSF Health
@UCSFHospitals · X

RT @LouiseAronson: Remarkably practical, clear & useful article by @LizDzeng of @UCSFHospitals: a better paradigm for how to approach End‐o…

Nov 12, 2020 · 6 shares · 71,161 followers View post →
Dr. Jullie Gray
@JullieGray · X

RT @LouiseAronson: Remarkably practical, clear & useful article by @LizDzeng of @UCSFHospitals: a better paradigm for how to approach End‐o…

Nov 11, 2020 · 6 shares · 638 followers View post →
Liz Dzeng, MD, PhD, MPH, MPhil, MS
@LizDzeng · X

RT @LouiseAronson: Remarkably practical, clear & useful article by @LizDzeng of @UCSFHospitals: a better paradigm for how to approach End‐o…

Nov 11, 2020 · 6 shares · 1,280 followers View post →
Sharon Inouye, MD
@sharon_inouye · X

RT @LouiseAronson: Remarkably practical, clear & useful article by @LizDzeng of @UCSFHospitals: a better paradigm for how to approach End‐o…

Nov 11, 2020 · 6 shares · 7,574 followers View post →
Louise Aronson
@LouiseAronson · X

Remarkably practical, clear & useful article by @LizDzeng of @UCSFHospitals: a better paradigm for how to approach End‐of‐Life Decision Making especially for solo agers or 'unbefriended' but really for anyone! Thoughts @DianeEMeier @AlexSmithMD @WesElyMD? https://t.co/1hOYFwhtxk

Nov 11, 2020 · 21 likes · 6 shares · 9,469 followers View post →