Search results for "Palliative Care"
American Heart Association issues scientific statement on cardiogenic shock in older adults
The statement provides suggestions for clinical practice, highlighting the crucial role of individualized risk assessment, an interdisciplinary approach, and patient-centered decision making in the management of cardiogenic shock among older adults.
https://acphospitalist.acponline.org/archives/2024/03/06/american-heart-association-issues-scientific-statement-on-cardiogenic-shock-in-older-adults.htm
6 Mar 2024
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
The palliative car consult
A conversation with an expert helps a family make a big decision.
https://acphospitalist.acponline.org/archives/2024/01/24/free/the-palliative-car-consult.htm
24 Jan 2024
A strategy for long stays
Patients with extended hospitalizations got continuity and targeted help under a new program.
https://acphospitalist.acponline.org/archives/2023/11/29/a-strategy-for-long-stays.htm
29 Nov 2023
Surgery for malignant small bowel obstruction did not reduce 90-day mortality
A comparison in which some patients with malignant small bowel obstruction were randomized and some chose between surgery and nonsurgical management found no difference in mortality between treatments, but surgery was associated with more symptom improvement.
https://acphospitalist.acponline.org/archives/2023/08/09/surgery-for-malignant-small-bowel-obstruction-did-not-reduce-90-day-mortality.htm
9 Aug 2023
Considering ketamine
Evidence is limited, but low-dose ketamine may be an appropriate adjunct or alternative to opioids for certain patients in pain.
https://acphospitalist.acponline.org/archives/2023/08/02/free/considering-ketamine.htm
2 Aug 2023
Automated alert increased documented goals-of-care conversations
Emailing primary hospital team members about their older or seriously ill patients' current code status with suggested language about goals of care had a particularly large effect on whether these conversations occurred with patients of minoritized race or ethnicity, a trial found.
https://acphospitalist.acponline.org/archives/2023/05/31/automated-alert-increased-documented-goals-of-care-conversations.htm
31 May 2023
Early palliative care did not improve quality of life in cancer surgery patients
The trial randomly assigned participants scheduled for intra-abdominal cancer operations to receive either usual care or an intervention including preoperative consultation with palliative care specialists and postoperative inpatient and outpatient palliative care follow-up for 90 days.
https://acphospitalist.acponline.org/archives/2023/05/24/early-palliative-care-did-not-improve-quality-of-life-in-cancer-surgery-patients.htm
24 May 2023
What to say when sharing serious news
Two palliative care experts at CONVERGE outlined common tactics and phrases to avoid in conversations with patients and families and recommended some alternatives.
https://acphospitalist.acponline.org/archives/2023/04/19/what-to-say-when-sharing-serious-news.htm
19 Apr 2023
Honest talk about SNFs
Discharge to a skilled nursing facility is a moment for serious discussion of prognosis, a geriatrician says.
https://acphospitalist.acponline.org/archives/2022/12/21/free/honest-talk-about-snfs.htm
21 Dec 2022