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Abstract Number: 21
SHM Converge 2021
Background: Hospitalists commonly discuss advance care planning (ACP), which supports patients in understanding and expressing their values for medical care during serious illness. The coronavirus disease of 2019 (COVID-19) pandemic has increased the urgency of these conversations, especially for patients with older age, comorbidities, or an otherwise high risk for complications such as ICU admission, […]
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: 49
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Abstract Number: 53
SHM Converge 2024
Background: Clinicians face substantial challenges in limiting life-prolonging interventions (e.g., ICU admission, life-sustaining treatments, invasive procedures) near the end of life, even when they judge these interventions to be non-beneficial [1-3]. The objective of our study was to empirically derive a descriptive framework of decision-making approaches used by clinicians to limit (i.e., withhold or withdraw) […]
Abstract Number: 54
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Code status discussions often link do-not-intubate (DNI) orders with do-not-resuscitate (DNR) orders, although cardiac arrest accounts for less than 2% of endotracheal intubations. DNR orders are more commonly implemented for older patients with more comorbid conditions regardless of the reason for hospitalization, and are associated with withholding treatments outside of the cardiac arrest setting. […]
Abstract Number: 61
Hospital Medicine 2020, Virtual Competition
Background: Literature regarding resident education in transitions of care is limited, particularly in geriatric populations. The University of Colorado performed a pilot of a virtual multidisciplinary conference call between providers on the geriatric inpatient unit of the University of Colorado Hospital and its Seniors Clinic. Residents rotating on the Acute Care of the Elder (ACE) […]
Abstract Number: 69
SHM Converge 2023
Background: Despite benefits of early Serious Illness Conversations (SICs), including increased satisfaction and earlier hospice referral, rates of SICs remain low. The primary aim of this study is to assess if standardized documentation of SICs increase following implementation of interventions for providers to have more of these conversations with patients admitted to a general medicine […]
Abstract Number: 69
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: For most of the past century, clinical medicine was taught almost exclusively at the bedside. Currently, learners participate in a variety of activities that may or may not include bedside teaching. Balancing quality patient care and teaching a diverse group of learners is often a challenge. Electronic health records (EHR) with an ever-growing amount […]
Abstract Number: 72
Hospital Medicine 2020, Virtual Competition
Background: In medical care for older patients, the presence of potentially inappropriate medications (PIMs) is associated with increased adverse outcomes [1, 2]. A wide range of medications with anticholinergic properties affects cognitive states of older patients have been regarded as PIMs [1, 3]. We purposed to assess clinical impact of anticholinergic cognitive burden on clinical […]
Abstract Number: 75
Hospital Medicine 2020, Virtual Competition
Background: Atrial fibrillation (AF) is strongly age-dependent, and with a growing geriatric population, the incidence and prevalence of AF is expected to increase in the United States. As a result, the number of patients at risk of a thromboembolic event due to AF is also expected to increase. Although bleeding associated with mechanical falls is […]