Meeting
Abstract Number: 39
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Early palliative care can be beneficial for patients and the health system alike. The principle of palliative care is to improve quality of life through patient-centric treatment goals and comfort measures. However, many patients are identified and receive palliative care in their last days of life where hospice is more appropriate. Hospitalists are routinely […]
Abstract Number: 107
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Prognostication of survival in advanced cancer patients has been challenging and contributes to poor illness understanding. Disagreements among providers about prognosis occur and is a less studied phenomenon. We asked the Surprise Question (SQ), “Would I be surprised if this patient died within the next 1 year, 6 months, and 1 month?” to Palliative […]
Abstract Number: 115
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Patients who are frequently admitted to Medicine inpatient services comprise a distinct subset of readmitted patients about whom not much is known. A prior study collected data on characteristics of 153 frequently hospitalized patients. This was a follow-up evaluation to determine the categories of patients the original cohort belonged to, and to collect mortality […]
Abstract Number: 134
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Reversing the life trajectory of hospitalized patients can be challenging. Sixty percent of Americans die in acute care hospitals. Identification of the patient care goals and directives frequently happens after many days of aggressive, uncomfortable and costly interventions at the hospital. We aimed to elucidate if identification of care goals earlier in Intensive Care […]
Abstract Number: 263
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Palliative care (PC) has been shown to be cost-effective and improve the quality of life for patients facing incurable and life-threatening illness. However, identifying patients benefiting from PC consultation remains a challenge in the inpatient setting. As part of a quality improvement initiative, we created a PC screening tool by adapting elements from existing outpatient […]