Session Type
Meeting
Search Results for Palliative Care
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: 129
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Chronic pain is a healthcare problem that significantly affects the physical and mental health of patients and impact their quality of life. It can complicate many disorders and represents a common symptom of rheumatologic diseases. Patients with Scleroderma report pulmonary and gastrointestinal symptoms as the limiting factor on their daily functioning, however pain remains […]
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: 135
SHM Converge 2021
Background: Due to medical complexity, children with complex chronic conditions (CCC) have high hospital mortality rates. End-of-life (EOL) care planning is critical for these children and requires collaboration with families. Despite the importance of EOL care aligned with patient/family goals and potential harm when EOL care is inconsistent with these goals, there is limited literature […]
Abstract Number: 142
SHM Converge 2024
Background: Patients from diverse sociocultural backgrounds and with differing medical conditions may have varying levels of acceptance of advanced care planning which is a process in which patients of any age or health status document future care preferences. It can encompass do-not-resuscitate (DNR) orders, directives to withhold cardiopulmonary resuscitation in the event of cardiac arrest […]
Abstract Number: 155
Hospital Medicine 2020, Virtual Competition
Background: After discharge from an acute care hospitalization, cancer patients may choose to pursue rehabilitative care in a skilled nursing facility (SNF). Our objective was to examine receipt of anti-cancer therapy, death, readmission, and hospice use of cancer patients who discharge to a SNF compared to those who discharge home or home with home health […]
Abstract Number: 165
Hospital Medicine 2020, Virtual Competition
Background: Palliative care in seriously ill patients has been shown in some studies to improve satisfaction, symptoms, inpatient mortality rates, healthcare utilization and cost. While inpatient palliative care has been shown to improve symptoms and quality of life measures, the literature on its association with 30-day readmissions have been mixed for heart failure hospitalizations. We […]
Abstract Number: 178
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Hospitalization of the patient with advanced cancer can be a pivotal moment and opportunity to explore patient goals of care in order to deliver high value, patient-centered care that emphasizes quality of life. Part of this discussion should define patient preferences regarding code status as it is known that prognosis is extremely poor and […]
Abstract Number: 216
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Prognostication of survival in advanced cancer patients has been challenging and contributes to poor illness understanding. Prognostic disagreement occurs even amongst providers and is a less studied phenomenon. We introduced the Surprise Question (SQ), “Would I be surprised if this patient died in the next 1 year, 6 months, and 1 month?”, at multidisciplinary […]
Abstract Number: 223
SHM Converge 2024
Background: Advance Care Planning (ACP), palliative care (PC), and enrolling inpatients near end of life into hospice are known methods to improve patient experience and reduce inappropriate use of inpatient (IP) resources. We sought to increase ACP, PC, and hospice referral by proactively identifying patients near end of life. Methods: In 2020 we introduced the […]