2,773 results match your criteria Am J Hosp Palliat Care[Journal]


Palliative Care Team Involvement in Patients With COVID-19 in New York City.

Am J Hosp Palliat Care 2020 Jul 8:1049909120940986. Epub 2020 Jul 8.

Department of Medicine, Icahn School of Medicine at Mount Sinai, Mount Sinai Beth Israel, New York, NY, USA.

Background: With the highest number of cases in the world as of April 13, 2020, New York City (NYC) became the epicenter of the global coronavirus disease 2019 (COVID-19) pandemic. The data regarding palliative team involvement in patients with COVID-19, however, remains scarce. We aimed to investigate outcomes of palliative team involvement for the patients with COVID-19 in NYC. Read More

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http://dx.doi.org/10.1177/1049909120940986DOI Listing

A Mixed-Methods Quasi-Experimental Study on Perspectives Among Physicians and Nurses Regarding Use of Palliative Care Teams in the Pediatric Intensive Care Unit After Out-of-Hospital Cardiac Arrest.

Am J Hosp Palliat Care 2020 Jul 8:1049909120937454. Epub 2020 Jul 8.

Department of Family Medicine, Oregon Health & Science University, Portland, OR, USA.

Background: Nationally, only one-third of children survive to hospital discharge after initial presentation with out-of-hospital cardiac arrest (OHCA). Of those children who survive, less than 25% leave the hospital at their functional baseline. Given these poor outcomes, such patients could benefit from palliative care involvement. Read More

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http://dx.doi.org/10.1177/1049909120937454DOI Listing

Reflections of Hospice Staff Members About Educating Hospice Family Caregivers Through Telenovela.

Am J Hosp Palliat Care 2020 Jul 8:1049909120936169. Epub 2020 Jul 8.

Harry J. Duffey Family Professor of Palliative Medicine, JHMI, Johns Hopkins Hospital, Baltimore, MD, USA.

Objective: Hospice family caregivers are seeking additional information related to patient care, pain and symptom management, and self-care. This study interviewed hospice staff about the potential dissemination of bilingual telenovelas to address these caregiver needs.

Methods: Qualitative structured phone interviews were conducted with 22 hospice professionals from 17 different hospice organizations in 3 different Midwest states. Read More

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http://dx.doi.org/10.1177/1049909120936169DOI Listing

Trends in the Utilization of Palliative Care in Patients With Gynecologic Cancer Who Subsequently Died During Hospitalization.

Am J Hosp Palliat Care 2020 Jul 7:1049909120935038. Epub 2020 Jul 7.

Division of Gynecologic Oncology, California Pacific-Palo Alto Medical Foundation, Sutter Research Institute, San Francisco, CA, USA.

Objective: To determine factors associated with the utilization of palliative care (PC) in patients with metastatic gynecologic cancer who died while hospitalized.

Methods: Data were abstracted from the National Inpatient Sample database for patients with cervical, uterine, and ovarian cancers from 2005 to 2011. Chi-squared and logistic regression models were used for statistical analyses. Read More

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http://dx.doi.org/10.1177/1049909120935038DOI Listing

Is the Emergency Department an Inappropriate Venue for Code Status Discussions?

Am J Hosp Palliat Care 2020 Jul 2:1049909120938332. Epub 2020 Jul 2.

Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA.

Background: Historically, it has been assumed that the Emergency Department (ED) is a place for maximally aggressive care and that Emergency Medicine Providers (EMPs) are biased towards life-prolonging care. However, emphasis on early recognition of code status preferences is increasingly making the ED a venue for code status discussions (CSDs). In 2018, our hospital implemented a policy requiring EMPs to place a code status order (CSO) for all patients admitted through the ED. Read More

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http://dx.doi.org/10.1177/1049909120938332DOI Listing

Percutaneous CT-Guided Cryoablation of the Bilateral Pudendal Nerves for Palliation of Intractable Pain Related to Pelvic Neoplasms.

Am J Hosp Palliat Care 2020 Aug;37(8):619-623

Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA, USA.

Objectives: The purpose of this report is to describe the effect of computed tomography-guided bilateral pudendal nerve cryoablations on pain and time to discharge in the setting of acute hospitalizations secondary to refractory pelvic pain from cancer.

Methods: Investigators queried the medical record for patients who underwent pudendal nerve cryoablation using the Category III Current Procedural Technology code assignment 0442T or Category I code 64640 for cases prior to 2015. The resulting list was reviewed, and procedures performed on inpatients for intractable pelvic pain related to neoplasm were selected. Read More

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http://dx.doi.org/10.1177/1049909119892003DOI Listing

Patient Risk Factor Profiles Associated With the Timing of Goals-of-Care Consultation Before Death: A Classification and Regression Tree Analysis.

Am J Hosp Palliat Care 2020 Jun 30:1049909120934292. Epub 2020 Jun 30.

NewCourtland Center for Transitions and Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.

Background: Early palliative care consultation ("PCC") to discuss goals-of-care benefits seriously ill patients. Risk factor profiles associated with the timing of conversations in hospitals, where late conversations most likely occur, are needed.

Objective: To identify risk factor patient profiles associated with PCC timing before death. Read More

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http://dx.doi.org/10.1177/1049909120934292DOI Listing

A Retrospective Thematic Analysis of Patient, Family, and Staff Creative Art Tiles Developed on a Tertiary Palliative Care Unit.

Am J Hosp Palliat Care 2020 Jun 29:1049909120935833. Epub 2020 Jun 29.

Division of Palliative Care Medicine, Department of Oncology, University of Alberta, Edmonton, Canada.

Objectives: Clinical use of the creative arts in palliative care is well established, yet there are few evaluation studies of these programs.

Methods: In this first phase of a 3-phase evaluation of a creative arts program entitled "Tile Tales," we conducted a retrospective thematic analysis of 85 painted tiles and accompanying stories that were publically displayed on a tertiary palliative care unit. Each story was independently coded, using content analysis. Read More

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http://dx.doi.org/10.1177/1049909120935833DOI Listing

The Efficacy of a Single Session of 20-Minute Mindful Breathing in Reducing Dyspnea Among Patients With Acute Decompensated Heart Failure: A Randomized Controlled Trial.

Am J Hosp Palliat Care 2020 Jun 26:1049909120934743. Epub 2020 Jun 26.

Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Heart failure is the leading cause of morbidity and mortality worldwide. Standard treatment for heart failure includes pharmacotherapy and cardiac device implants. However, supportive approaches in managing dyspnea in heart failure are limited. Read More

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http://dx.doi.org/10.1177/1049909120934743DOI Listing

Hospice Patient Care Goals and Medical Students' Perceptions: Evidence of a Generation Gap?

Am J Hosp Palliat Care 2020 Jun 26:1049909120934737. Epub 2020 Jun 26.

Hospice & Palliative Care Buffalo, Cheektowaga, NY, USA.

Background: The ability to perceive care goals of the dying may be an indicator of future quality patient-centered care. Research conducted on end-of-life goals indicates discrepancies between patients and physicians.

Objective: The aim of this study is to compare end-of-life care goals of hospice patients and medical student perceptions of patient care goals. Read More

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http://dx.doi.org/10.1177/1049909120934737DOI Listing

Exploring Family Caregiver Communication Difficulties and Caregiver Quality of Life and Anxiety.

Am J Hosp Palliat Care 2020 Jun 26:1049909120935371. Epub 2020 Jun 26.

Communication Studies, University of Memphis, Memphis, TN, USA.

Background: When family caregivers are involved in patient care, both patients and caregivers experience better clinical outcomes. However, caregivers experience communication difficulties as they navigate a complex health care system and interact with health care providers. Research indicates that caregivers experience a communication burden that can result in topic avoidance and distress; however, little is known about how burden stemming from communication difficulties with health care providers relates to caregiving outcomes. Read More

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http://dx.doi.org/10.1177/1049909120935371DOI Listing

Corrigendum to Outcomes of Airway Stents in the Palliative Care of Patients With Cancer.

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Am J Hosp Palliat Care 2020 Jun 24:1049909120936412. Epub 2020 Jun 24.

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http://dx.doi.org/10.1177/1049909120936412DOI Listing

Improving Care Experiences for Patients and Caregivers at End of Life: A Systematic Review.

Am J Hosp Palliat Care 2020 Jun 19:1049909120931468. Epub 2020 Jun 19.

UCLA Fielding School of Public Health, 650 Charles E. Young Dr. South, Los Angeles, CA, USA.

Background: End-of-life care is increasing as the US population ages. Approaches to providing high-quality end-of-life care vary across setting, diseases, and populations. Several data collection tools measure patient and/or caregiver care experiences at end of life and can be used for quality improvement. Read More

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http://dx.doi.org/10.1177/1049909120931468DOI Listing

Integrating Culturally Competent Advance Care Planning for Korean Immigrants: An Integrative Review.

Am J Hosp Palliat Care 2020 Jun 19:1049909120933856. Epub 2020 Jun 19.

Johns Hopkins University School of Nursing, Baltimore, MD, USA.

Aims: This review aims to explore the extant literature on the current utilization of ACP in Kisin order to obtain a comprehensive understanding of their health disparities and to determineevidence-based best practices to integrate culturally-competent ACP for EOL care of KIs.

Design: A systematic integrative review of the literature Data Sources:  Four electronic databases including PubMed, the Cumulative Index of Nursing and Allied Health Literature, the Cochrane Library, and Embase.

Method: The detailed search strategy for databases implicated a combination of MeSHkeywords and associated terms, which can be found in Table A. Read More

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http://dx.doi.org/10.1177/1049909120933856DOI Listing

The Concerns and Experience of Decision-Making Regarding Do-Not-Resuscitate Orders Among Caregivers in Hospice Palliative Care.

Am J Hosp Palliat Care 2020 Jun 17:1049909120933535. Epub 2020 Jun 17.

Institute of Gerontology, College of Medicine, National Cheng Kung University, Tainan.

A do-not-resuscitate (DNR) order is an important end-of-life decision. In Taiwan, family caregivers are also involved in this decision-making process. This study aimed to explore the concerns and experiences regarding DNR decisions among caregivers in Taiwan. Read More

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http://dx.doi.org/10.1177/1049909120933535DOI Listing

Keeping the Family in Family Medicine.

Authors:
Amelita Woodruff

Am J Hosp Palliat Care 2020 Jun 15:1049909120933273. Epub 2020 Jun 15.

Department of Family Medicine, Mayo Clinic Florida, Jacksonville, FL, USA.

In this personal reflection, as a Family Medicine resident at an Academic Center in Northeast Florida, as well as being a chronic illness patient myself, I explore the notion of dying alone and away from family. Although COVID-19 has changed the practice of medicine in many ways, prior to that, and before the instillation of hospital no-visitor policies and stay at home orders, I experienced a case of a patient dying alone in the hospital. These chronicles that case and the impact it had on me afterward in regard to my own family and how I hope the future of medicine can address this. Read More

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http://dx.doi.org/10.1177/1049909120933273DOI Listing

Improving Student Attitudes Toward Palliative Care.

Am J Hosp Palliat Care 2020 Jun 9:1049909120931800. Epub 2020 Jun 9.

Medical School, University of Leicester, London, United Kingdom.

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http://dx.doi.org/10.1177/1049909120931800DOI Listing

Comment on: Chaplaincy Care in the MICU: Describing the Spiritual Care Provided to MICU Patients and Families at the End of Life.

Am J Hosp Palliat Care 2020 Jun 8:1049909120931368. Epub 2020 Jun 8.

Health Science Department, Utica College, Utica, NY, USA.

The purpose of the comment on "Chaplaincy Care in the MICU: Describing the Spiritual Care Provided to MICU Patients and Families at the End of Life" was to bring to light more information about spiritual assessments. In addition to bringing more background to what types of assessments are used across the United States, this letter also advocates for a standardized assessment that can be used across disciplines. Read More

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http://dx.doi.org/10.1177/1049909120931368DOI Listing

An Adapted Conceptual Model Integrating Palliative Care in Serious Illness and Multiple Chronic Conditions.

Am J Hosp Palliat Care 2020 Jun 8:1049909120928353. Epub 2020 Jun 8.

Hartford Institute for Geriatric Nursing, NYU Rory Meyers College of Nursing, New York, NY, USA.

Objective: Seriously ill adults with multiple chronic conditions (MCC) who receive palliative care may benefit from improved symptom burden, health care utilization and cost, caregiver stress, and quality of life. To guide research involving serious illness and MCC, palliative care can be integrated into a conceptual model to develop future research studies to improve care strategies and outcomes in this population.

Methods: The adapted conceptual model was developed based on a thorough review of the literature, in which current evidence and conceptual models related to serious illness, MCC, and palliative care were appraised. Read More

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http://dx.doi.org/10.1177/1049909120928353DOI Listing

The Role of Palliative Care in Caring for the Families of Patients With COVID-19.

Am J Hosp Palliat Care 2020 Jun 8:1049909120931506. Epub 2020 Jun 8.

Division of Geriatrics and Palliative Medicine, Weill Cornell Medicine/New York-Presbyterian, New York, NY, USA.

In palliative care, we strive to provide care to the whole patient. When we think about the whole patient, we include the people who are important in our patients' lives. Our New York City-based palliative care team has found that caring for patients' loved ones has proven to be an even more important aspect of the care we have provided during the COVID epidemic. Read More

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http://dx.doi.org/10.1177/1049909120931506DOI Listing

Conversations on Cancer Chemotherapy Cessation in Patients With Advanced Cancer: Qualitative Findings From a Multi-Institutional Study.

Am J Hosp Palliat Care 2020 Jun 4:1049909120930710. Epub 2020 Jun 4.

Mayo Clinic, Rochester, MN, USA.

Purpose: As many as 20% of oncology patients receive chemotherapy in the last 14 days of their lives. This study characterized conversations between patients and cancer clinicians on chemotherapy cessation in the setting of advanced cancer.

Methods: This 3-site study captured real-time, audio-recorded interviews between oncology clinicians and patients with cancer during actual clinic visits. Read More

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http://dx.doi.org/10.1177/1049909120930710DOI Listing

Palliative Care for the Asian American Adult Population: A Scoping Review.

Am J Hosp Palliat Care 2020 Jun 3:1049909120928063. Epub 2020 Jun 3.

Health Sciences and Human Services Library, University of Maryland, Baltimore, MD, USA.

Background: The Asian American (AA) population is rapidly becoming one of the largest racial/ethnic groups in the United States. Despite this growth and advances in palliative care (PC) programs in the United States, the scope and nature of the literature regarding PC for AAs remains unclear. This review provides an overview of existing research on PC for AAs, identifies gaps in the research with recommendations for future research and delineates practice implications. Read More

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http://dx.doi.org/10.1177/1049909120928063DOI Listing

A Review and Considerations on Palliative Care Improvements for African Americans With Cancer.

Am J Hosp Palliat Care 2020 Jun 3:1049909120930205. Epub 2020 Jun 3.

Division of Health Equities, City of Hope Medical Center, Duarte, CA, USA.

Hospice and Palliative care benefits are infrequently realized by African American patients with cancer. With the increasing recognition of the critical role of early utilization of palliative services for optimal and quality patient care, it is important to acknowledge disparities and barriers to access that minority patients may face. The purpose of this paper is to discuss the status of palliative care delivery for African American patients within the structure and framework of the clinical practice guideline domains established by the National Consensus Project for Palliative Care. Read More

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http://dx.doi.org/10.1177/1049909120930205DOI Listing

CORRIGENDUM to Courvoisier's Law (updated to Cheyne-Stokes Breathing).

Authors:

Am J Hosp Palliat Care 2020 May 28:1049909120931994. Epub 2020 May 28.

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http://dx.doi.org/10.1177/1049909120931994DOI Listing

A Systematic Review of Clinical Interventions Facilitating End-of-Life Communication Between Patients and Family Caregivers.

Am J Hosp Palliat Care 2020 May 28:1049909120929323. Epub 2020 May 28.

Department of Health Systems Science, College of Nursing, University of Illinois at Chicago, IL, USA.

Communication between patients and family caregivers plays a key role in successful end-of-life (EOL) care. In the majority of cases, health-care providers (HCP) are responsible for leading this communication in clinical settings. This systematic review aimed to examine the evidence for the efficacy of HCP-led interventions in enhancing communication between patients and family caregivers. Read More

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http://dx.doi.org/10.1177/1049909120929323DOI Listing

Prevalence and Inpatient Hospital Outcomes of Malignancy-Related Ascites in the United States.

Am J Hosp Palliat Care 2020 May 28:1049909120928980. Epub 2020 May 28.

Department of Radiation Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL, USA.

Objective: Malignancy-related ascites (MRA) is the terminal stage of many advanced cancers, and the treatment is mainly palliative. This study looked for epidemiology and inpatient hospital outcomes of patients with MRA in the United States using a national database.

Methods: The current study was a cross-sectional analysis of 2015 National Inpatient Sample data and consisted of patients ≥18 years with MRA. Read More

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http://dx.doi.org/10.1177/1049909120928980DOI Listing

Pediatric Cardiac Critical Care Transport and Palliative Care: A Case Series.

Am J Hosp Palliat Care 2020 May 28:1049909120928280. Epub 2020 May 28.

Pediatric Cardiology, Pediatric Critical Care, University of Arkansas for Medical Sciences, Arkansas Children's Hospital, Little Rock, AR, USA.

Objective: To present our center's experience with terminal extubation in 3 palliative critical care home transports from the Pediatric Cardiac Intensive Unit.

Design: All cases were identified from our Cardiovascular intensive care unit ( CVICU). Patients were terminally ill children with no other surgical or medical option who were transported home between 2014 and 2018, for terminal extubation and end-of-life care according to their families' wishes. Read More

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http://dx.doi.org/10.1177/1049909120928280DOI Listing

Outcomes of Airway Stents in the Palliative Care of Patients With Cancer.

Am J Hosp Palliat Care 2020 May 26:1049909120926466. Epub 2020 May 26.

Department of Palliative Care, Portuguese Institute of Oncology-Porto, Portugal.

Introduction: A significant proportion of patients with advanced primary or metastatic intrathoracic malignancy will eventually develop central airway obstruction. The morbidity associated with malignant airway obstruction (MAO) is considerable and the management is difficult. Our aim was to evaluate the outcomes of tracheobronchial stenting in patients with MAO and its role in palliative care. Read More

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http://dx.doi.org/10.1177/1049909120926466DOI Listing

Role of the Rapid Response System in End-of-Life Care Decisions.

Am J Hosp Palliat Care 2020 May 26:1049909120927372. Epub 2020 May 26.

Inha University Hospital Rapid Response Team (INHART), Incheon, Republic of Korea.

Purpose: An important role of the rapid response system (RRS) is to provide opportunities for end-of-life care (EOLC) decisions to be appropriately operationalized. We investigated whether EOLC decisions were made after the RRS-recommended EOLC decision to the primary physician.

Materials And Methods: We studied whether patients made EOLC decisions consistent with the rapid response team's (RRT) recommendations, between January 1, 2017, and February 28, 2019. Read More

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http://dx.doi.org/10.1177/1049909120927372DOI Listing

Early Integrated Palliative Care Bundle Impacts Location of Death in Interstitial Lung Disease: A Pilot Retrospective Study.

Am J Hosp Palliat Care 2020 May 20:1049909120924995. Epub 2020 May 20.

Division of Pulmonary Medicine, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.

Background: Interstitial lung diseases (ILDs) comprise a heterogeneous group of fibrotic, progressive pulmonary diseases characterized by poor end-of-life care and hospital deaths. In 2012, we launched our Multidisciplinary Collaborative (MDC) ILD clinic to deliver integrated palliative approach throughout disease trajectory to improve care. We sought to explore the effects of palliative care and other factors on location of death (LOD) of patients with ILD. Read More

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http://dx.doi.org/10.1177/1049909120924995DOI Listing

Characteristics and Outcomes of Patients Referred to an Emergency Department-Based End-of-Life Care Service in Hong Kong: A Retrospective Cohort Study.

Am J Hosp Palliat Care 2020 May 19:1049909120926148. Epub 2020 May 19.

Department of Accident and Emergency, Queen Elizabeth Hospital, Hospital Authority, Hong Kong.

Background: This study describes the characteristics and outcomes of patients referred to an emergency department (ED)-based end-of-life (EOL) service in a tertiary acute hospital in Hong Kong. We examine how emergency physicians (EPs) perform in recognizing and managing dying patients.

Methods: From September 2010 to April 2018, patients referred to this EOL service in this hospital were included. Read More

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http://dx.doi.org/10.1177/1049909120926148DOI Listing
May 2020
1.347 Impact Factor

The Development and Implementation of a Cardiac Home Hospice Program: Results of a RE-AIM Analysis.

Am J Hosp Palliat Care 2020 May 18:1049909120925432. Epub 2020 May 18.

Department of Healthcare Research & Policy, Division of Health Informatics, Weill Cornell Medicine, New York, NY, USA.

Background: Use of hospice has grown among patients with heart failure; however, gaps remain in the ability of agencies to tailor services to meet their needs.

Aim: This study describes the implementation of a cardiac home hospice program and insights for dissemination to other hospice programs.

Design: We conducted a multimethod analysis structured around the Reach Effectiveness Adoption Implementation and Maintenance (RE-AIM) framework. Read More

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http://dx.doi.org/10.1177/1049909120925432DOI Listing

Pilot of the Life-Sustaining Treatment Decisions Initiative Among Veterans With Serious Illness.

Am J Hosp Palliat Care 2020 May 8:1049909120923595. Epub 2020 May 8.

Center for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, CA, USA.

Background: Prior to national spread, the Department of Veterans Affairs implemented a pilot of the life-sustaining treatment decisions initiative (LSTDI) to promote proactive goals of care conversations (GoCC) with seriously ill patients, including policy and practice standards, an electronic documentation template and order set, and implementation support.

Aim: To describe a 2-year pilot of the LSTDI at 4 demonstration sites.

Design: Prospective observational study. Read More

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http://dx.doi.org/10.1177/1049909120923595DOI Listing

Supporting Pediatric Patients and Their Families at the End of Life: Perspectives From Bereaved Parents.

Am J Hosp Palliat Care 2020 May 6:1049909120922973. Epub 2020 May 6.

Division of Pediatric Hematology Oncology, Department of Pediatrics, University of Michigan, Ann Arbor, MI, USA.

Background: Cancer remains the leading cause of death by disease for children in the United States. It is imperative to optimize measures to support patients and families facing the end of a child's life. This study asked bereaved parents to reflect on their child's end-of-life care to identify which components of decision-making, supportive services, and communication were helpful, not helpful, or lacking. Read More

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http://dx.doi.org/10.1177/1049909120922973DOI Listing

Racial Disparities in Utilization of Palliative Care Among Patients Admitted With Advanced Solid Organ Malignancies.

Am J Hosp Palliat Care 2020 May 6:1049909120922779. Epub 2020 May 6.

Division of Surgical Oncology, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Background: There is increasing recognition of the importance of early incorporation of palliative care services in the care of patients with advanced cancers. Hospice-based palliative care remains underutilized for black patients with cancer, and there is limited literature on racial disparities in use of non-hospice-based palliative care services for patients with cancer.

Objective: The primary objective of this study is to describe racial differences in the use of inpatient palliative care consultations (IPCC) for patients with advanced cancer who are admitted to a hospital in the United States. Read More

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http://dx.doi.org/10.1177/1049909120922779DOI Listing

Medical Student Perspective on Palliative Care Teaching.

Am J Hosp Palliat Care 2020 May 1:1049909120922971. Epub 2020 May 1.

Medical School, University of Leicester, United Kingdom.

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http://dx.doi.org/10.1177/1049909120922971DOI Listing

Cheyne-Stokes Breathing.

Authors:
Kacper Niburski

Am J Hosp Palliat Care 2020 Apr 30:1049909120922776. Epub 2020 Apr 30.

Faculty of Medicine, McGill University, Montreal, Quebec, Canada.

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http://dx.doi.org/10.1177/1049909120922776DOI Listing

General Practitioners' Perspectives on General and Specialized Palliative Home Care in North Rhine, Germany: An Explorative Focus Group Study.

Am J Hosp Palliat Care 2020 Apr 28:1049909120920541. Epub 2020 Apr 28.

Institute of Medical Sociology, Health Services Research and Rehabilitation Science (IMVR) of the University of Cologne, Cologne, Germany.

Background: General practitioners (GPs) are important providers and coordinators of palliative home care (PHC). Through this double role, their perspectives and their treatment decisions influence PHC fundamentally. This study aims to gain deeper insights into GPs' perspectives regarding PHC in North Rhine, Germany. Read More

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http://dx.doi.org/10.1177/1049909120920541DOI Listing

Perceptions of Facilitators and Barriers to Measuring and Improving Quality in Palliative Care Programs.

Am J Hosp Palliat Care 2020 Apr 27:1049909120916702. Epub 2020 Apr 27.

Johns Hopkins School of Medicine, Baltimore, MD, USA.

Objective: To examine perceptions of facilitators and barriers to quality measurement and improvement in palliative care programs and differences by professional and leadership roles.

Methods: We surveyed team members in diverse US and Canadian palliative care programs using a validated survey addressing teamwork and communication and constructs for educational support and training, leadership, infrastructure, and prioritization for quality measurement and improvement. We defined key facilitators as constructs rated ≥4 (agree) and key barriers as those ≤3 (disagree) on 1 to 5 scales. Read More

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http://dx.doi.org/10.1177/1049909120916702DOI Listing

Pediatric Palliative Care During End of Life: A Privilege of a Few in a Tertiary Referral Hospital From Colombia.

Am J Hosp Palliat Care 2020 Aug 23;37(8):636-640. Epub 2020 Apr 23.

Fundación Valle de Lili, Pediatric Palliative Care Program, Cali, Colombia.

Background: We aim to describe the access to palliative care (PC) in hospitalized children during end-of-life care and compare the circumstances surrounding the deaths of hospitalized children as a basis for implementing a pediatric PC program at our institution.

Methods: We performed a retrospective chart review of deceased pediatric patients at a tertiary referral hospital in Colombia. The study group was selected by randomly drawing a sample of 100 observations from the 737 deceased children from 2013 to 2016. Read More

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http://dx.doi.org/10.1177/1049909120920542DOI Listing

Palliative Care in a Death-Denying Culture: Exploring Barriers to Timely Palliative Efforts for Heart Failure Patients in the Primary Care Setting.

Am J Hosp Palliat Care 2020 Apr 22:1049909120920545. Epub 2020 Apr 22.

MS(N) Program, Western Carolina University, Cullowhee, NC, USA.

Context: Heart failure (HF) is a complex, life-limiting disease that is prevalent and burdensome. All major cardiology societies and international clinical practice guidelines recommend the integration of palliative care (PC) interventions alongside usual HF management.

Objectives: The purpose of this review of the literature was to evaluate the various barriers to the early initiation of PC for HF patients in the primary care setting. Read More

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http://dx.doi.org/10.1177/1049909120920545DOI Listing

Palliative Care Consultations in Trauma Patients and Role of Do-Not-Resuscitate Orders: Propensity-Matched Study.

Am J Hosp Palliat Care 2020 Apr 22:1049909120919672. Epub 2020 Apr 22.

Division of Trauma and Critical Care Services, Delray Medical Center, Delray Beach, FL, USA.

Objective: To delineate characteristics of trauma patients associated with a palliative care consultation (PCC) and to analyze the role of do-not-resuscitate (DNR) orders and related outcomes.

Methods: Retrospective study included 864 patients from 2 level one trauma centers admitted between 2012 and 2019.  Level 1 trauma centers are designated for admission of the most severe injured patients. Read More

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http://dx.doi.org/10.1177/1049909120919672DOI Listing
April 2020
1.347 Impact Factor

Advance Care Planning for African American Caregivers of Relatives With Dementias: Cluster Randomized Controlled Trial.

Am J Hosp Palliat Care 2020 Apr 20:1049909120916127. Epub 2020 Apr 20.

Department of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, FL, USA.

Background And Objectives: African-American family caregivers may have insufficient knowledge to make informed end-of-life (EOL) decisions for relatives with dementias. Advance Care Treatment Plan (ACT-Plan) is a community-based education intervention to enhance knowledge of dementia and associated EOL medical treatments, self-efficacy, intentions, and behavior (written EOL care plan). This study evaluated efficacy of the intervention compared to attention control. Read More

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http://dx.doi.org/10.1177/1049909120916127DOI Listing

Access to Home and Community Health Services for Older Adults With Serious, Life-Limiting Illness: A Study Protocol.

Am J Hosp Palliat Care 2020 Apr 20:1049909120920230. Epub 2020 Apr 20.

Ronald O. Perelman Department of Emergency Medicine, New York University School of Medicine, NY, USA.

Objectives: The objective of this study is to identify contextual access factors to home and community health services for end-of-life support for older adults with serious life-limiting illness, as well as determine if access to home and community services is associated with health-care utilization.

Design: This study includes an environmental scan, grey literature review, qualitative interviews, and health-care utilization analysis. This study is a subproject of the Grudzen et al. Read More

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http://dx.doi.org/10.1177/1049909120920230DOI Listing

Generalist Palliative Care in the California Safety Net: A Structured Assessment to Design Interventions for a Range of Care Settings.

Am J Hosp Palliat Care 2020 Apr 13:1049909120915461. Epub 2020 Apr 13.

California Health Care Foundation, Oakland, CA, USA.

Background: To provide high quality care to all patients who have serious illness, health-care systems must develop effective generalist palliative care strategies.

Objective: To identify palliative care quality gaps within a range of settings in the California safety net and to develop theory-based interventions to address them.

Design: Structured assessment using the National Consensus Project for Quality Palliative Care Clinical Practice Guidelines and a Predisposing, Reinforcing, and Enabling Constructs in Educational/Environmental Diagnosis and Evaluation intervention planning model-based worksheet, which integrates behavior theories to identify factors that predispose, enable, and reinforce clinicians to perform recommended behaviors. Read More

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http://dx.doi.org/10.1177/1049909120915461DOI Listing

The Impact of Varying Levels of Advance Care Planning Engagement on Perceptions of the End-of-Life Experience Among Caregivers of Deceased Patients With Cancer.

Am J Hosp Palliat Care 2020 Apr 13:1049909120917899. Epub 2020 Apr 13.

University of Miami School of Nursing and Health Studies, Coral Gables, FL, USA.

Context: Advance care planning (ACP) is used to prepare patients and caregivers for future "in the moment" decisions at the end-of-life. Patients with cancer generally do not engage in all 3 components of ACP (documented living will, health-care surrogate, end-of-life discussions); however, little is known about the impact of these varying levels of ACP engagement on caregivers postdeath.

Objective: To examine the relationship between varying levels of ACP engagement and caregivers' perceptions of cancer decedents' end-of-life experiences. Read More

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http://dx.doi.org/10.1177/1049909120917899DOI Listing

Students Practicing Interprofessional Collaboration in the Context of Hospice and Palliative Care.

Am J Hosp Palliat Care 2020 Apr 9:1049909120917365. Epub 2020 Apr 9.

College of Pharmacy and Allied Health Professions, South Dakota State University, Brookings, SD, USA.

Interprofessional education allows students to collaborate with students and professionals of multiple disciplines. An Interdisciplinary Palliative Care (IPC) Seminar, held in the Midwest, involves students from disciplines of medicine, nursing, pharmacy, social work, and chaplaincy. The curriculum of the seminar incorporates asynchronous and synchronous didactic presentations, experiential learning through group exercises and discussion, along with home visits by students in interdisciplinary dyads. Read More

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Identifying End-of-Life Preferences Among Chinese Patients With Cancer Using the Heart to Heart Card Game.

Am J Hosp Palliat Care 2020 Apr 9:1049909120917361. Epub 2020 Apr 9.

Department of Chemotherapy and Radiation Therapy, Zhongnan Hospital, Wuhan University, Wuhan, Hubei province, China.

Background: Understanding the preferences for end-of-life (EOL) care is imperative in providing quality care to patients with life-threatening illness. However, it is difficult for patients, families, and health-care providers to initiate EOL conversations in China. An easy-to-use tool that could help health-care providers initiate EOL discussions is the Heart to Heart Card Game (HHCG), originally designed for Chinese Americans. Read More

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http://dx.doi.org/10.1177/1049909120917361DOI Listing

Impact of a Palliative Care Education Module in Patients With Heart Failure.

Am J Hosp Palliat Care 2020 Apr 9:1049909120918524. Epub 2020 Apr 9.

Duke University Hospital, Durham, NC, USA.

Background: Heart failure (HF) impacts 6.2 million American adults. With no cure, therapies aim to prevent progression and manage symptoms. Read More

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http://dx.doi.org/10.1177/1049909120918524DOI Listing

Race and Ethnicity and Satisfaction With Communication in the Intensive Care Unit.

Am J Hosp Palliat Care 2020 Apr 2:1049909120916126. Epub 2020 Apr 2.

Division of Critical Care, Department of Medicine, Albert Einstein College of Medicine, Bronx, NY, USA.

Purpose: Racial and ethnic minority patients receive poorer quality end-of-life (EoL) care compared with white patients. Differences in quality of communication (QOC) with clinicians may contribute to these disparities. We measured differences in satisfaction with communication in the intensive care unit (ICU) by race and ethnicity. Read More

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http://dx.doi.org/10.1177/1049909120916126DOI Listing