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Meeting
Search Results for End-of-Life
Abstract Number: 249
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Clearly documented patient preferences for treatment at the end-of-life may help inform clinical decision-making during future hospitalizations. The electronic health record (EHR) could facilitate easier access to this information. However, little is known about current documentation practices regarding advanced care planning in the EHR. The objective of this study was to determine the prevalence […]
Abstract Number: 350
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: While Medicare data demonstrates that healthcare spending is up to four times higher in yearly decedents than survivors, studies demonstrate that early advance care planning (ACP) leads to improved clinical outcomes and reduces cost without increase in patient anxiety or depression. Nationwide the creation of the Physician Order for Life Sustaining Treatment (POLST), a […]
Abstract Number: 364
SHM Converge 2023
Background: During a pre-intervention baseline survey period, only 38% of internal medicine inpatients with a do-not-resuscitate (DNR) order at time of hospital discharge and absent or discordant Portable Orders for Life-Sustaining Treatment (POLST) form at time of admission were discharged with a concordant POLST form. Purpose: To improve documentation of end-of-life preferences in hospitalized adults […]
Abstract Number: 445
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Increasing number of palliative care patients are cared for by hospitalists, but the value of hospitalist on end-of-life (EOL) care is scarcely reported. The study aims to evaluate the effect of hospitalist care on the intensive care utilization and medical expenditure for end-of-life hospitalizations. Methods: A three-year retrospective observational study was conducted at a […]
Abstract Number: 454
Hospital Medicine 2020, Virtual Competition
Background: Although the vast majority of adult patients in the United States prefer to die at home, most patients die in acute care settings. Barriers include advanced care planning, communication between inpatient and outpatient providers, and delivery of medical equipment. In 2018, our General Medicine Service Line ranked 73rd out of 98 Academic Medical Centers […]
Abstract Number: 635
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: The patient is a 74 year old woman with past history of dementia and an aggressive right upper lobe cavitary mass who presented with post-obstructive pneumonia. The lung mass was diagnosed two years prior, however, the patient refused further workup. The patient named her two daughters to be dual healthcare powers of attorney […]
Abstract Number: 777
SHM Converge 2024
Case Presentation: We present 2 amalgamated, anonymized patient cases, based on 5 ethics consults requested at a single tertiary care hospital over the past 4 years. In the first case, Ms. M, an 89 year old woman with a past history of severe COPD, debilitating chronic back pain, and recent imaging findings suggestive of a […]
Abstract Number: F14
SHM Converge 2022
Background: Non-beneficial treatment can be defined as medical interventions that are ineffective in achieving a patient’s desired goals or subject patients to discomfort without significant clinical benefit. At times, critically-ill patients are declined Intensive Care Unit (ICU) admission due to perceived lack of benefit but continue to be medically managed on the general medical floor. […]
Abstract Number: O13
SHM Converge 2022
Background: Non-beneficial treatment can be defined as medical interventions that are ineffective in achieving the desired goals or are “a disservice to patients who are subjected to ongoing and likely uncomfortable conditions with no benefit”. At times, critically ill patients are declined Intensive Care Unit (ICU) admission due to perceived lack of benefit from medical […]