Search results for "End-of-Life Care"

Results 1 - 18 of about 18 for "End-of-Life Care".

Do-not-attempt-resuscitation order rates compared for heart failure, other hospital conditions

A retrospective study in California found low overall rates of do-not-attempt-resuscitation orders in patients hospitalized for heart failure, pneumonia, acute myocardial infarction, or chronic obstructive pulmonary disease, with some variation by race.
https://acphospitalist.acponline.org/archives/2022/11/23/free/do-not-attempt-resuscitation-order-rates-compared-for-heart-failure-other-hospital-conditions.htm
23 Nov 2022

‘No escalation of treatment’ orders common, often ambiguous, small study finds

Researchers interviewed 30 physicians at seven hospitals about “no escalation of treatment” designations and concluded that systems-level interventions to make these orders clearer and more consistent would be helpful.
https://acphospitalist.acponline.org/archives/2022/08/31/no-escalation-of-treatment-orders-common-often-ambiguous-small-study-finds.htm
31 Aug 2022

Program targeting families of ICU decedents associated with higher ratings of emotional, spiritual support

Bereaved families who participated in the 3 Wishes Program, in which clinicians elicit and fulfill simple wishes for dying patients and their families, rated their emotional and spiritual support significantly higher than those who did not participate.
https://acphospitalist.acponline.org/archives/2022/05/25/program-targeting-families-of-ICU-decedents-associated-with-higher-ratings-of-emotional-spiritual-support.htm
25 May 2022

Invasive mechanical ventilation at end of life may be more common in Asian Americans

Researchers used a 20% random sample of Medicare fee-for-service beneficiaries to compare receipt of invasive mechanical ventilation among Asian American and White patients hospitalized in the last 30 days of life.
https://acphospitalist.acponline.org/weekly/archives/2021/05/05/4.htm
5 May 2021

Men with heart failure more likely to be admitted, get intensive treatment at end of life

Researchers couldn't determine whether women with heart failure were less likely to be hospitalized or to receive intensive or invasive care due to undertreatment of women or overtreatment of men at the end of life.
https://acphospitalist.acponline.org/weekly/archives/2020/12/23/4.htm
23 Dec 2020

Reversal of prior DNR orders common at readmission of recently hospitalized patients

In a recent study, about 45% of California patients readmitted within 30 days following an initial hospitalization with do-not-resuscitate (DNR) orders reversed their DNR preferences upon readmission.
https://acphospitalist.acponline.org/weekly/archives/2020/12/09/3.htm
9 Dec 2020

Use of noninvasive ventilation at end of life rapidly increased in recent years

Among Medicare beneficiaries hospitalized in the last 30 days of life, use of noninvasive ventilation increased ninefold from 2000 to 2017, while use of invasive mechanical ventilation remained relatively stable. Noninvasive ventilation was associated with better end-of-life care measures.
https://acphospitalist.acponline.org/weekly/archives/2020/10/28/3.htm
28 Oct 2020

Moral distress common among physicians caring for inpatients without decisional capacity

Moral distress occurred more often when the physician was male, the patient was older, or the patient's care required decisions about life-sustaining treatment.
https://acphospitalist.acponline.org/weekly/archives/2020/03/04/3.htm
4 Mar 2020

Project honoring ICU patients' dying wishes was affordable, sustainable

The 3 Wishes Project fulfilled 3,325 requests of dying patients and their families, ranging from live musical performances to pet visitation, at four ICUs in the U.S. and Canada.
https://acphospitalist.acponline.org/weekly/archives/2019/11/13/4.htm
13 Nov 2019

Fewer Medicare beneficiaries dying in the hospital, but ICU use at end of life still common

The retrospective cohort study included a 20% random sample of Medicare fee-for-service beneficiaries who died in 2000, 2005, 2009, 2011, or 2015.
https://acphospitalist.acponline.org/weekly/archives/2018/07/04/1.htm
4 Jul 2018

Hospitalists weigh ethical, practical impacts of aid-in-dying laws

Early experience with California's End of Life Option Act highlights some of the challenges and concerns with allowing physicians to help seriously ill patients end their lives.
https://acphospitalist.acponline.org/archives/2018/01/impacts-of-aid-in-dying-laws.htm
15 Jan 2018

Nurses, but not family, found that quality of life program helped dying elderly patients

The Belgian study provided staff on acute geriatrics wards with a care guide for last days of life, training, supportive documentation, and a guide for implementation.
https://acphospitalist.acponline.org/weekly/archives/2017/05/24/4.htm
24 May 2017

Study examines time to death, predictive factors after palliative extubation

After palliative extubation, mortality rates were 43% at 12 hours, 56% at 24 hours, 68% at 72 hours, and 79% at 96 hours.
https://acphospitalist.acponline.org/weekly/archives/2016/06/15/3.htm
15 Jun 2016

Project allows ICU patients, families to personalize dying process

Last wishes of ICU patients, from bagpipe music to charitable donations, were fulfilled by researchers, who found positive impact on patients, families, and clinicians.
https://acphospitalist.acponline.org/weekly/archives/2015/07/15/1.htm
15 Jul 2015

Timely palliative care for inpatients with advanced cancer has cost-saving effect, study shows

Providing earlier palliative care consultation to patients with advanced cancer significantly lowers direct costs of hospital care, according to a multicenter study.
https://acphospitalist.acponline.org/weekly/archives/2015/06/17/4.htm
17 Jun 2015