Session Type
Meeting
Search Results for Palliative Care
Abstract Number: 231
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Palliative care and geriatrics in hospital medicine have an established positive impact on patient experience and outcomes, however, these specialist care services remain underutilized. Recognizing an opportunity to improve the appropriateness of inpatient consultation on a large academic medical hospitalist service, we implemented a multi-disciplinary quality improvement intervention with the goal of increasing appropriate […]
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 […]
Abstract Number: 266
Hospital Medicine 2020, Virtual Competition
Background: Traumatic brain injuries (TBIs) pose a unique problem because prognosis is difficult to predict; therefore, treatment decisions are complex with uncertain outcomes. According to the American College of Surgeons 2018 Trauma Quality Improvement Project (TQIP), identified patients should receive a palliative care assessment within 24 hours, a family conversation should be held within 72 […]
Abstract Number: 277
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Implantable cardioverter defibrillator (ICD) shocks can be traumatic for patients and families, particularly at the end of life. Studies estimate between 51-65% of ICDs remain active at time of death, with 24-31% of patients receiving shocks within the last day of life, and 8% in the last minute of life. The Heart Rhythm Society […]
Abstract Number: 279
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Reducing LOS promotes value, and when aligned with patient preferences, can improve care. Patients referred for palliative care (PC) generally have longer length of stay (LOS) due to their serious illness, multiple complex management issues, and the fact that long LOS is a reason for engaging a specialty PC team. The aim of this […]
Abstract Number: 279
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Palliative care (PC) has been shown to improve the quality of life for patients facing life-threatening illness and their families. PC screening tools have been successfully used in identifying cancer patients in need of PC services and increase hospice utilization. However, a PC screening tool specific to hospitalized septic patients is lacking, despite sepsis […]
Abstract Number: 327
SHM Converge 2023
Background: Many cancer centers use the hospitalist model in the inpatient setting (1) since hospitalists provide high quality, cost efficient care (2). Our 678-bed quaternary hospital uses oncology hospitalist teams to care for all inpatients with solid tumor malignancies with medical oncology and palliative care consulting as needed. Internal medicine residents and advanced practice fellows […]
Abstract Number: 379
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: When a patient with cancer or terminal illness is hospitalized, they may benefit from the input of their outpatient, primary oncologist or palliative care provider to inform key decisions. As most oncologists’ and ambulatory palliative care clinics are based outside the hospital, these conversations often happen via unreimbursed phone conversations, making it difficult to […]
Abstract Number: 382
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: As chronic illnesses are claiming majority of deaths in United States, it is very important that we identify patients with chronic illnesses who have shortened life expectancy and prioritize their needs for palliative care. The different death trajectories of chronic illnesses make it difficult to prognosticate such patients. Available prognostication tools, both disease specific […]
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 […]