Search results for "End-of-Life Care"
Palliative care consults by default did not affect inpatient length of stay
Implementation of a default, opt-out palliative care consultation intervention for older hospital patients with advanced chronic illnesses did increase consult rates from 16.6% to 43.9% and significantly increased odds of discharge to hospice.
https://acphospitalist.acponline.org/archives/2024/01/24/palliative-care-consults-by-default-did-not-affect-inpatient-length-of-stay.htm
24 Jan 2024
Surrogate decisions for incarcerated hospital patients often handled improperly
Prison employees were involved in more than half of the decisions for patients who lacked decision-making capacity while hospitalized from a prison, according to an analysis of 20 years of records from one academic medical center.
https://acphospitalist.acponline.org/archives/2023/12/13/surrogate-decisions-for-incarcerated-hospital-patients-often-handled-improperly.htm
13 Dec 2023
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
A step back from advance directives
Advance care planning needs to be more than a form in a file, says an intensivist and researcher.
https://acphospitalist.acponline.org/archives/2022/08/31/a-step-back-from-advance-directives.htm
31 Aug 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
Talking about heart failure
Patients with heart failure often have a hard time wrapping their heads around it. Hospitalists can do a lot to improve communication and education during hospitalization.
https://acphospitalist.acponline.org/archives/2022/08/24/talking-about-heart-failure.htm
24 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
Advance care planning assessed, therapeutic heparin debated in recent COVID-19 articles
Along with an analysis of the pre-existing conditions of patients who died of COVID-19 and a point/counterpoint on use of heparin in ward patients, the latest inpatient COVID-19 research included negative trials of losartan and a potential monoclonal antibody.
https://acphospitalist.acponline.org/archives/2022/03/23/free/advance-care-planning-assessed-therapeutic-heparin-debated-in-recent-covid-19-articles.htm
23 Mar 2022
How COVID-19 changed end-of-life care
Hospitalists have had to find new strategies during the pandemic in order to provide optimal care, including company and comfort, to dying inpatients and their families.
https://acphospitalist.acponline.org/archives/2022/01/12/free/how-covid-19-changed-end-of-life-care.htm
12 Jan 2022
Virtual rounding beyond the pandemic
Hospitals have moved to hybrids of remote and in-person rounds.
https://acphospitalist.acponline.org/archives/2021/09/virtual-rounding-beyond-the-pandemic.htm
15 Sep 2021