scholarly journals End-of-Life Care in Older Patients After Serious or Severe Traumatic Brain Injury in Low-Mortality Hospitals Compared With All Other Hospitals

JAMA Surgery ◽  
2018 ◽  
Vol 153 (1) ◽  
pp. 44 ◽  
Author(s):  
Elizabeth J. Lilley ◽  
John W. Scott ◽  
Joel S. Weissman ◽  
Anna Krasnova ◽  
Ali Salim ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
End Of Life ◽  
Severe Traumatic Brain Injury ◽  
End Of Life Care ◽  
Older Patients ◽  
Life Care

Intensity of treatment, end-of-life care, and mortality for older patients with severe traumatic brain injury

2016 ◽  
Vol 80 (6) ◽  
pp. 998-1004 ◽  
Author(s):  
Elizabeth J. Lilley ◽  
Katherine J. Williams ◽  
Eric B. Schneider ◽  
Khaled Hammouda ◽  
Ali Salim ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
End Of Life ◽  
Severe Traumatic Brain Injury ◽  
End Of Life Care ◽  
Older Patients ◽  
Life Care ◽  
Intensity Of Treatment

scholarly journals Health care utilization and end-of-life care for older patients with acute myeloid leukemia

Cancer ◽  
2015 ◽  
Vol 121 (16) ◽  
pp. 2840-2848 ◽  
Author(s):  
Areej R. El-Jawahri ◽  
Gregory A. Abel ◽  
David P. Steensma ◽  
Thomas W. LeBlanc ◽  
Amir T. Fathi ◽  
...  
Keyword(s):  
Health Care ◽  
Acute Myeloid Leukemia ◽  
Health Care Utilization ◽  
End Of Life ◽  
End Of Life Care ◽  
Older Patients ◽  
Myeloid Leukemia ◽  
Care Utilization ◽  
Life Care ◽  
Acute Myeloid

Older Patients With Severe Traumatic Brain Injury: National Variability in Palliative Care

2020 ◽  
Vol 246 ◽  
pp. 224-230 ◽  
Author(s):  
Franchesca Hwang ◽  
Sri Ram Pentakota ◽  
Nina E. Glass ◽  
Ana Berlin ◽  
David H. Livingston ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Palliative Care ◽  
Brain Injury ◽  
Severe Traumatic Brain Injury ◽  
Older Patients

scholarly journals Health Care Use by Older Adults With Acute Myeloid Leukemia at the End of Life

2017 ◽  
Vol 35 (30) ◽  
pp. 3417-3424 ◽  
Author(s):  
Rong Wang ◽  
Amer M. Zeidan ◽  
Stephanie Halene ◽  
Xiao Xu ◽  
Amy J. Davidoff ◽  
...  
Keyword(s):  
Health Care ◽  
Acute Myeloid Leukemia ◽  
End Of Life ◽  
End Of Life Care ◽  
Older Patients ◽  
Myeloid Leukemia ◽  
Hospice Care ◽  
Life Care ◽  
To Receive ◽  
Acute Myeloid

Purpose Little is known about the patterns and predictors of the use of end-of-life health care among patients with acute myeloid leukemia (AML). End-of-life care is particularly relevant for older adults with AML because of their poor prognosis. Methods We performed a population-based, retrospective cohort study of patients with AML who were ≥ 66 years of age at diagnosis and diagnosed during the period from 1999 to 2011 and died before December 31, 2012. Medicare claims were used to assess patterns of hospice care and use of aggressive treatment. Predictors of these end points were evaluated using multivariable logistic regression analyses. Results In the overall cohort (N = 13,156), hospice care after AML diagnosis increased from 31.3% in 1999 to 56.4% in 2012, but the increase was primarily driven by late hospice enrollment that occurred in the last 7 days of life. Among the 5,847 patients who enrolled in hospice, 47.4% and 28.8% started their first hospice enrollment in the last 7 and 3 days of life, respectively. Among patients who transferred in and out of hospice care, 62% received transfusions outside hospice. Additionally, the use of chemotherapy within the last 14 days of life increased from 7.7% in 1999 to 18.8% in 2012. Patients who were male and nonwhite were less likely to enroll in hospice and more likely to receive chemotherapy or be admitted to intensive care units at the end of life. Conversely, older patients were less likely to receive chemotherapy or have intensive care unit admission at the end of life, and were more likely to enroll in hospice. Conclusion End-of-life care for older patients with AML is suboptimal. Additional research is warranted to identify reasons for their low use of hospice services and strategies to enhance end-of-life care for these patients.

scholarly journals End of life care for frail older patients in family practice (ELFOP) – protocol of a longitudinal qualitative study on needs, appropriateness and utilisation of services

2013 ◽  
Vol 14 (1) ◽  
Author(s):  
Gabriele Müller-Mundt ◽  
Jutta Bleidorn ◽  
Karin Geiger ◽  
Katharina Klindtworth ◽  
Sabine Pleschberger ◽  
...  
Keyword(s):  
Qualitative Study ◽  
End Of Life ◽  
Family Practice ◽  
End Of Life Care ◽  
Older Patients ◽  
Life Care

Comparison of Thai older patients’ wishes and nurses’ perceptions regarding end-of-life care

2019 ◽  
Vol 26 (7-8) ◽  
pp. 2006-2015 ◽  
Author(s):  
Manchumad Manjavong ◽  
Varalak Srinonprasert ◽  
Panita Limpawattana ◽  
Jarin Chindaprasirt ◽  
Srivieng Pairojkul ◽  
...  
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Older Patients ◽  
Cross Sectional Study ◽  
Self Report ◽  
Good Death ◽  
Life Care ◽  
Cross Sectional ◽  
Adequate Knowledge

Background: Achieving a “good death” is a major goal of palliative care. Nurses play a key role in the end-of-life care of older patients. Understanding the perceptions of both older patients and nurses in this area could help improve care during this period. Objectives: To examine and compare the preferences and perceptions of older patients and nurses with regard to what they feel constitutes a “good death.” Research design: A cross-sectional study. Participants and research context: This study employed a self-report questionnaire that asked about various options for end-of-life care. It was distributed to older patients who attended the outpatient clinic of internal medicine and nurses who worked at two medical schools in Thailand from September 2017 to February 2018. Patients were asked to respond to the questions as if they were terminally ill, and nurses were asked to imagine how older patients would answer the questions. Ethical consideration: Approval from Institutional Review Board was obtained. Findings: A total of 608 patients and 665 nurses responded to the survey. Nurses agreed with concepts of palliative care, but they rated themselves as having poor knowledge. The patient respondents felt that it was most important that they receive the full truth about their illnesses (29.2%). The nurses thought the most important issue was relief of uncomfortable symptoms (25.2%). On seven out of the 13 questions, nurses overestimated the importance of the relevant issue to patients and underestimated the importance on one question (p < 0.05). Discussion: Both nurses and older patients signified concepts of palliative care, but nurses felt that they lacked adequate knowledge. Nurses estimated that patients would have positive attitudes toward autonomy and the closure of life affairs to a significantly greater degree than the patient respondents. Conclusions: We recommend that palliative care education be improved and that steps be taken to allow for more effective nurse–patient communication with regard to the patients’ end-of-life wishes.

scholarly journals Patterns and predictors of end-of-life care in older patients with pancreatic cancer

2018 ◽  
Vol 7 (12) ◽  
pp. 6401-6410 ◽  
Author(s):  
Ryan D. Nipp ◽  
Angela C. Tramontano ◽  
Chung Yin Kong ◽  
Chin Hur
Keyword(s):  
Pancreatic Cancer ◽  
End Of Life ◽  
End Of Life Care ◽  
Older Patients ◽  
Life Care

scholarly journals End-of-life care preferences of older patients with multimorbidity: protocol of a mixed-methods systematic review

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e038682
Author(s):  
Ana Isabel Gonzalez-Gonzalez ◽  
Christine Schmucker ◽  
Julia Nothacker ◽  
Truc Sophia Nguyen ◽  
Maria-Sophie Brueckle ◽  
...  
Keyword(s):  
Social Sciences ◽  
Systematic Review ◽  
Decision Making ◽  
Mixed Methods ◽  
End Of Life ◽  
End Of Life Care ◽  
Older Patients ◽  
Citation Index ◽  
Life Care ◽  
Social Sciences Citation Index

IntroductionEnd-of-life care is an essential task performed by most healthcare providers and often involves decision-making about how and where patients want to receive care. To provide decision support to healthcare professionals and patients in this difficult situation, we will systematically review a knowledge cluster of the end-of-life care preferences of older patients with multimorbidity that we previously identified using an evidence map.Methods and analysisWe will systematically search for studies reporting end-of-life care preferences of older patients (mean age ≥60) with multimorbidity (≥2 chronic conditions) in MEDLINE, CINAHL, PsycINFO, Social Sciences Citation Index, Social Sciences Citation Index Expanded, PSYNDEX and The Cochrane Library from inception to September 2019. We will include all primary studies that use quantitative, qualitative and mixed methodologies, irrespective of publication date and language.Two independent reviewers will assess eligibility, extract data and describe evidence in terms of study/population characteristics, preference assessment method and end-of-life care elements that matter to patients (eg, life-sustaining treatments). Risk of bias/applicability of results will be independently assessed by two reviewers using the Mixed-Methods Appraisal Tool. Using a convergent integrated approach on qualitative/quantitative studies, we will synthesise information narratively and, wherever possible, quantitatively.Ethics and disseminationDue to the nature of the proposed systematic review, ethics approval is not required. Results from our research will be disseminated at relevant (inter-)national conferences and via publication in peer-reviewed journals. Synthesising evidence on end-of-life care preferences of older patients with multimorbidity will improve shared decision-making and satisfaction in this final period of life.PROSPERO registration numberCRD42020151862.

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