Search results for "Goals of Care"
Optimal hospital care for Native Americans
The pandemic has highlighted the importance of improvement.
https://acphospitalist.acponline.org/archives/2021/01/optimal-hospital-care-for-native-americans.htm
15 Jan 2021
How and why to prognosticate
Hospitalists should try to help patients understand the prognosis of their illnesses.
https://acphospitalist.acponline.org/archives/2021/07/how-and-why-to-prognosticate.htm
15 Jul 2021
When less intensity is more caring
Hospitalists can help patients avoid nonbeneficial care with communication and time-limited trials.
https://acphospitalist.acponline.org/archives/2021/07/when-less-intensity-is-more-caring.htm
15 Jul 2021
New American Heart Association framework for referring patients to advanced HF centers
The first step is to identify whether the patient has clinical signs and symptoms consistent with advanced heart failure (HF), including recurrent hospitalizations, and the second is to assess the likelihood of benefit from referral to an advanced HF center.
https://acphospitalist.acponline.org/weekly/archives/2021/09/22/4.htm
22 Sep 2021
Surviving Sepsis Campaign releases updated guidelines for hospitalized adults
Topics covered among the 93 recommendations include screening and early treatment of sepsis, hemodynamic management, ventilation, additional therapies, and long-term outcomes and goals of care. Changes include which sepsis risk scores are recommended.
https://acphospitalist.acponline.org/weekly/archives/2021/10/20/2.htm
20 Oct 2021
Goal-concordant care frequently not provided for sepsis patients, even when documented
In a retrospective study, 60% of patients who had survived sepsis did not have goals of care assessed before hospital discharge, and among those who did, 32% did not receive goal-concordant care.
https://acphospitalist.acponline.org/weekly/archives/2021/10/27/3.htm
27 Oct 2021
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
Experts recommend criteria for referring heart failure patients to palliative care
The 25 criteria selected by a group of international experts were divided into six categories: advanced/refractory heart failure, comorbidities, and complications; advanced therapies; hospital utilization; prognosis; symptom burden/distress; and decision making/social support.
https://acphospitalist.acponline.org/archives/2022/07/20/experts-recommend-criteria-for-referring-heart-failure-patients-to-palliative-care.htm
20 Jul 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
Electronic tool for ICU-to-ward discharge linked to timely, complete discharge summaries
A Canadian study of adult patients discharged from the ICU to a hospital ward found that the proportion of those with timely and complete discharge summaries increased from 10.8% to 71.1% after implementation of a structured electronic discharge summary tool.
https://acphospitalist.acponline.org/archives/2022/08/24/electronic-tool-for-icu-to-ward-discharge-linked-to-timely-complete-discharge-summaries.htm
24 Aug 2022