Keystones in Behavioral Intervention Research in Hospice and Palliative Care (RP502)
The design of behavioral interventions in hospice and palliative care needs to acknowledge the unique challenges of these settings. Strategies to integrate ethical and cultural considerations, and to improve likelihood for translation into practice are needed. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: George Demiris, Debra Parker Oliver, Karla Washington Source Type: research

National Variation in Palliative Care and Associated Outcomes Among Decedents with Heart Failure in Veterans Affairs Medical Centers (RP503)
National policies require that all Veterans with serious life-limiting illness have access to palliative care at all Veterans Affairs Medical Centers (VAMCs). (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Shelli Feder, Mary Ersek, Ann Kutney-Lee, Nancy Redeker, Lori Bastian, Kathleen Akgun Source Type: research

Compared to What? Comparing Counterfactuals in an Observational Study of Palliative Care (RP504)
Palliative care improves patient and family outcomes, and evidence for cost-savings is needed to support scaling palliative care programs. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Brystana Kaufman, Melissa Greiner, Matthew Harker, Sarah Cross, Sarah Petry, David Anderson, Janet Bull, Courtney Van Houtven Source Type: research

Symptom Classes in End-Stage Liver Disease: A First Scientific Step (RP505)
To date, patients with end-stage liver disease (ESLD) have been categorized by disease severity. This is the first step to identify symptom classes in patients with ESLD based on symptom grouping and not based on disease state. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Lissi Hansen, Arnab Mitra, Michael Chang, Shirin Hiatt, Christopher Lee Source Type: research

Inpatient Palliative Care Consultation Is Associated with Lower Hazard of Readmission for Patients with Hepatocellular Carcinoma (RP506)
Hepatocellular carcinoma (HCC), the most common type of liver cancer, develops as a complication of chronic liver disease. While palliative care has been shown to reduce rates of healthcare utilization in other populations, little is known of the impact of inpatient palliative care consultation for people with HCC. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Christopher Woodrell, Nathan Goldstein, Jaison Moreno, Myron Schwartz, Thomas Schiano, Melissa Garrido Source Type: research

Factors Associated with Higher Symptom Burden and Lower Quality of Life Among Older Adults with Advanced Cancer (RP507)
Identifying factors associated with higher symptom burden and lower quality of life among older adults with advanced cancer can help target palliative care services to patients' needs. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Yael Schenker, Andrew Althouse, Margaret Rosenzweig, Douglas White, Edward Chu, Marie Bakitas, Thomas Smith, Kenneth Smith, Robert Arnold Source Type: research

A National Study of End-of-Life Care Among Older Veterans with Hearing and Vision Loss (RP508)
Individuals with vision and hearing loss are at risk for lower quality healthcare and inadequate communication with clinicians. The degree to which sensory loss is associated with end-of-life (EOL) care quality is unknown. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Joan Carpenter, Mary Ersek, Francis Nelson, Daniel Kinder, Melissa Wachterman, Dawn Smith, Andrew Murray, Melissa Garrido Source Type: research

Electronically Triggered Hospital-Based Palliative Care: Patient and Clinician Perspectives (RP509)
Hospitals are increasingly using triggers for palliative care to identify patients most likely to benefit, yet perspectives of key stakeholders on this practice are unknown. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Kate Courtright, Stephanie Szymanski, Sydney Hyder, Gary Weissman, Whitney Eriksen, Claire Bocage, Arnav Shah, Michael Draugelis, Susan Regli, Nina O'Connor, Scott Halpern Source Type: research

Informing Design of a Smart Phone Mobile Application to Improve Cancer Pain Management: A Survey of Cancer Care Institutions in Nepal (RP510)
Cancer is an increasing concern in low-and-middle income countries, and mobile technology can help deliver effective pain management. The Nepalese Association of Palliative Care (NAPCare) developed Pain Management Guidelines (PMG) but they are paper-based which limits practical daily up-take. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Virginia LeBaron, Abish Adhikari, Sandhya Chapagain Acharya, Catherine Elmore, Ramila Dangol, Manita Dhakal, Kara Fitzgibbon, Rajesh Gongal, Regina Kattel, Ganesh Koirala, Martha Maurer, Daniel Munday, Biijay Neupane, Sudip Shrestha, Ramila Shilpakar, Ara Source Type: research

Prevention and Treatment of Chronic and Opioid-Induced Constipation in Patients with Cancer: A Systematic Review and Meta-Analysis (RP511)
Constipation occurs in over 60% of persons with cancer during treatment and in palliative care. Constipation leads to physical and psychological distress and impacts quality of life; however, the evidence on prevention and resolution of symptoms is limited. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Pamela Ginex, Brian Hanson, Yufen Lin, Kristine LeFebvre, Kerri Moriarty, Christine Maloney, Mark Vrabel, Rebecca Morgan Source Type: research

Enhancing the Skills of Palliative Care Researchers in Designing and Conducting Clinical Trials: Lessons from the Palliative Care Research Cooperative Group (PCRC) (RP512)
We describe a successful model for investigator training using a team science approach. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Christine Ritchie, Jean Kutner, Kathryn Pollak, Sarah Garrigues Source Type: research

A Psychometric Examination of the PAINAD in Older Adults with Delirium (RP513)
In patients with cognitive impairments who are unable to self-report pain, providers must rely on behavioral observation tools to assess and manage pain. Although frequently employed in medical-surgical units, evidence supporting the psychometric efficacy of the Pain in Advanced Dementia (PAINAD) for pain screening in older adults with delirium is lacking. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Joy Goebel, Michelle Ferolito, Nicholas Gorman Source Type: research

Identifying Trends in Published Palliative Care Research: A 5-Year Review (RP514)
As research in the field of Hospice and Palliative Medicine (HPM) has grown, there has been a call for an increase in both quantitative research and representation of women in research. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Rishi Patel, Ambereen Mehta, Dheer Patel Source Type: research

Trends in Non-Invasive and Invasive Mechanical Ventilation and at the End of Life (RP515)
Non-Invasive ventilation (NIV) has been suggested as a palliative approach to avoid invasive mechanical ventilation (IMV) use in dying persons. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Donald Sullivan, Jennifer Bunker, Hyosin Kim, Joan Teno Source Type: research

Disparities in Supportive Care Needs Over Time Among Minority and Non-Minority Patients with Advanced Lung Cancer (RP516)
Minority patients with lung cancer often have higher rates of morbidity and mortality. This leads to increased suffering among minority patients with lung cancer. Little is known, however, about disparities in supportive care needs among patients with advanced lung cancer and how these needs evolve over time. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Cardinale Smith, Lihua Li, Jose Morillo, Juan Wisnivesky Source Type: research

Engaging Palliative Care Patients to Improve Quality Measurement: Preliminary Findings from a Series of Cognitive Interviews (RP517)
There are significant gaps in symptom management and meaningful communication measures, despite the noted importance of these domains to seriously ill patients and their families. In partnership with AAHPM and the National Coalition for Hospice and Palliative Care, RAND Health is testing measurement items for a short survey about the care patients receive from their palliative care doctors, nurses, and other team members. Survey questions focus on concepts related to communication (e.g., feeling heard and understood) and symptom management (e.g., receiving help wanted for pain). (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Julia Rollison, Sangeeta Ahluwalia, Mary Lou Gilbert Source Type: research

Unequal Access to Hospital Palliative Care in the United States: A State-by-State Report Card (RP518)
Given the continued growth of palliative care and the evolving healthcare market, understanding differences in availability of and access to palliative care programs in hospitals across the United States is key to improving the care of those with serious illness and their families. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Maggie Rogers, Diane Meier, R Sean Morrison, Jaison Moreno, Rachael Heitner, Melissa Aldridge Source Type: research

Distress at End of Life: A Concept Analysis (RP519)
Distress is a common phenomenon at end of life (EOL). While the concept of distress has been researched and documented in multiple patient populations, contexts, and from specific dimensions (e.g. physical or psychological distress), a complete conceptualization of distress at EOL is limited in the current literature. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Kathryn Robinson Source Type: research

How Does Quality of Care at the End of Life in Medicare Advantage Compare to Traditional Medicare? (RP520)
Medicare Advantage (MA) programs now insure 34% of Medicare beneficiaries, but little is known about how they shape end-of-life care. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Claire Ankuda, Amy Kelley, Joan Teno Source Type: research

The Epidemiology of Loneliness and Social Isolation Among Older Adults During the Last Years of Life (RP521)
While the last years of life have an intense focus on medical care, the same emphasis has not been placed on social well-being. Consequently, the epidemiology of key indicators of social health is unknown. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Ashwin Kotwal, Irena Stijacic-Cenzer, Linda Waite, Carla Perissinotto, Kenneth Covinsky, Louise Hawkley, Alexander Smith Source Type: research

Examining Population-Level Differences in Serious Medical Illness Between Veterans with and Without Post-Traumatic Stress Disorder (RP522)
Post-traumatic stress disorder (PTSD) has been linked to specific medical conditions, such as cardiovascular disease and dementia. However, little is known about the intersection of PTSD and serious medical illness. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Kathleen Bickel, Paula Langner, Anna Baron, Cari Levy, Gary Grunwald Source Type: research

Outcomes of Inpatient Hospice and Palliative Care Unit, and Role of Physician Assistants as Emerging Work Force in Upstream Inpatient Palliative Care (RP523)
The models for inpatient palliative care units tend to evolve based on institutional settings, funding mechanisms or professional backgrounds of clinician champions. The palliative care unit at the Montefiore Medical Center as few other units distinguishes itself from the traditional inpatient hospice and palliative care units by employing physician assistants since 2007, with the same administrative regulation and standard of clinical competence. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Serife Eti, Felicia Slade Source Type: research

Outpatient Cardiac Palliative Care Reduces Healthcare Utilization (RP524)
The American Heart Association and American Stroke Association have put forth policy statements recommending early and continuous access to palliative care for patients with advanced heart disease. Early integration of palliative care has been proven to improve the quality of life of patients with advanced heart failure. Other studies have suggested that palliative care in general has cost savings to hospital systems. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Todd Barrett Source Type: research

African American Faith Leaders' Experience, Knowledge, and Perceptions of Hospice and Palliative Care (RP525)
African American patients with life threatening illnesses are far less likely to use hospice and palliative care (HPC) services and are more likely to receive intensive treatments at end of life, relative to their white counterparts. Existing research points to numerous factors responsible for these disparities and to the important role spirituality and religion play in the lives of African Americans, who may view HPC at odds with their faith. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Clare Stacey, Nicholas Kreatsoulas, Debra Pohlman, Brittany Watts, Steven Radwany Source Type: research

Palliative Care and Infection Management in Nursing Homes: A Nationwide Survey (RP526)
Infections are common in nursing home (NH) residents at end-of-life (EoL) and often lead to antibiotic misuse and burdensome treatments. Palliative care (PC) is a proposed strategy to improve infection management at EoL in NHs. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Aluem Tark, Leah Estrada, Mary Tresgallo, Denise Quigley, Pat Stone, Mansi Agarwal Source Type: research

The Namaste Care Intervention for People with Advanced Dementia Living in Care Homes: Results from a Feasibility Cluster Randomised Controlled Trial (RP527)
Quality of life, care and dying can be variable for people with advanced dementia cared for in nursing homes. It is important that interventions are tested that may enable high quality care at the end of life; Namaste Care is one such intervention. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Catherine Walshe, Anne Davidson Lund, Claire Goodman, Frances Bunn, Joanna Coast, Julie Kinley, Guillermo Algorta, Nancy Preston, Lesley Dunleavy, Katherine Froggatt Source Type: research

Designing and Conducting Pragmatic Trials for Seriously Ill Individuals (MB601)
While a copious number of interventions with efficacy have been developed to address various facets of care for seriously ill older adults, many of them are never implemented in a wide-scale fashion due to the complexity of implementation in real-world settings. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Susan L. Mitchell, Corita Grudzen, Melissa Aldridge Tags: Method Breakout Sessions Source Type: research

Economics of Palliative Care: How Can We Advance the State of the Science? (MB602)
Economic evidence is critical for advancing the field of palliative care, demonstrating the value (quality/cost) of programs and interventions for payers, policymakers and managers. Although a growing number of studies are published in this area, recurring challenges limit the impact of the work. This session will discuss some of these challenges and highlight opportunities and methods to advance the field. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Peter May, Charlotta Lindvall Source Type: research

Mixed Methods Make Better Science and Translation in Palliative Care Research and Practice (MB603)
The use of mixed methods has the potential to improve research designs across all types of palliative care research. This session will provide an overview of methodological mixing and the general strengths and challenges of this approach, examine how data triangulation from qualitative and quantitative sources improves analysis and interpretation, and identify challenges and solutions to data collection and integration. The session will include a panel discussion with funded palliative care researchers regarding how they have applied mixed approaches in their research and their tips, strategies, and lessons learned. (Sourc...
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Helene Starks, Amber E. Barnato, Huong Q. Nguyen, Yael Schenker, Abraham A. Brody Source Type: research

Cardiologist and Hospitalist Decision-Making in Palliative Care Referral for Hospitalized Patients with Heart Failure: A Multi-Institutional Survey (GP700)
Despite frequent hospitalizations, end-stage heart failure patients rarely receive palliative care during admissions. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Nauzley Abedini, Gaorui Guo, Scott Hummel, David Bozaan, Michael Beasley, Jennifer Cowger, Vineet Chopra Tags: General Poster Session Source Type: research

Empowering Interpreters to Partner in Palliative Care Conversations: Effect of a Dialogue-Based Curriculum on Interpreter Attitudes and Confidence (GP701)
Effective communication across cultural and linguistic barriers during breaking bad news, DNR, and EOL conversations requires professional medical interpreters skilled in PC communication and clinicians skilled in working with interpreters. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Janet Abrahm, Jessica Goldhirsch Source Type: research

Cultural Values, Preferences, and Goals of End-of-Life Care of Family Members of Patients with Life-Limiting Illness in Kumasi, Ghana: A Community-Based Study (GP702)
Palliative care (PC) is in its infancy in Ghana, with only a few PC physicians and nurses at Komfo Anoyke Teaching Hospital (KATH) in Kumasi. Understanding patient and family cultural values, preferences and goals of care in patients with life-threatening illness is the first step in ensuring the provision of goal-concordant care. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Anita Eseenam Agbeko, Michael Owusu-Ansah, Vanessa Tate, Ronit Elk Source Type: research

Parent-Child Communication Outcomes of a RCT Testing a Legacy Intervention for Children with Advanced Cancer (GP703)
Although legacy-building is a priority for quality palliative care, research has rarely examined effects of legacy interventions in children, particularly their impact on parent-child communication. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Terrah Akard, Cynthia Gerhardt, Sheila Ridner, Mary Jo Gilmer Source Type: research

Measuring Engagement in Advance Care Planning: Comparison of a Validated Survey with Chart Review in Kidney Patients (GP704)
The impact of advance care planning (ACP) interventions is typically measured by completion of advance directives (AD), but this approach may miss other aspects of engagement. Surveys can measure progress in readiness to engage that falls short of document completion as well as other domains such as communication with clinical providers and designated medical decision makers. Longer surveys may capture nuances in engagement but are often infeasible in research with busy patients and providers. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Annette Aldous, Emily Klawson, Susan Loughlin, Dale Lupu Source Type: research

A Randomized Controlled Trial of TrialTALK: A Designed Conversation for Cancer Treatment Decision Making (GP705)
Decision-making conversations in the cancer clinic are nuanced, emotionally tense, crucial conversations which impact clinical care and patients' and families' lives. Oncologists must discuss news of prognostic significance, treatment options, their relative efficacy; elicit preferences, and make a recommendation. TrialTALK is a designed conversation with an accompanying pen and paper diagram, co-created between an oncologist and patient, that organizes and facilitates goal concordant discussions in the cancer clinic. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Apoorva Anandan, Kristine Kwekkeboom, Amy Zelenski, Toby Campbell Source Type: research

What Defines High Quality End-of-Life Care for Children with Cancer? A Stakeholder-Driven Qualitative Study (GP706)
Among adults with cancer, measures commonly used to assess high quality end-of-life care (EOLC) include prompt hospice enrollment and avoidance of chemotherapy or hospitalizations in the last month of life. Yet, no quality measures exist to evaluate or improve EOLC delivery for children with cancer, and adult quality measures may not apply. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Prasanna Ananth, Sophia Mun, Noora Reffat, Randall Li, Tannaz Sedghi, Madeline Bilodeau, Jennifer Snaman, Cary Gross, Xiaomei Ma, Joanne Wolfe Source Type: research

Palliative Care Needs of Patients with Cancer Receiving Active Therapy (GP707)
Needs assessment of patients is one of the first step to plan and deliver palliative care services. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Gulcan Bagcivan, Memnun Seven, Seyma Inciser Pasalak, Yasemin Aydin, G özde Öz, Fatih Selcukbiricik Source Type: research

“Is This the End or a Bend?”: Navigating Hope at End of Life in Pediatric Oncology (GP708)
Whereas adolescent and young adult (AYA) patients, parents, and health care providers (HCPs) agree that hope is a critical construct at the end of life (EOL), how they define and support it varies. Understanding how and when to diversify hopes beyond “cure” is critically important for effective communication and decision-making. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Krysta Barton, Mallory Taylor, Jenny Kingsley, Jori Bogetz, Amy Trowbridge, Abby Rosenberg Source Type: research

“If We Build It, Will They Come?” A Cohort Study of Family Utilization of a Pediatric-Specific Inpatient Hospice Facility (GP709)
Pediatric-specific hospice facilities (PHFs) are gaining interest as an alternative for end-of-life care. The need for these facilities has been called into question by previous research examining preferences of bereaved parents (Kassam, et. al., 2014); however, a PHF was not available to families in that study. The current study addresses this limitation by examining inpatient hospice utilization and location of death before and after the opening of a PHF. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Cady Berkel, Wendy Bernatavicius, Kevin Berger, Tressia Shaw Source Type: research

Outpatient Palliative Care is Not Just for Cancer: A Novel Palliative Care Clinic for Patients with Other Serious Illnesses (GP710)
Outpatient palliative care began primarily in cancer centers, but there remain substantial palliative care needs in patients with other serious illnesses. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Kara Bischoff, Marsha Blachman, Steven Pantilat Source Type: research

“It's a Rollercoaster”: Cancer-Bereaved Parents Describe Their Grief Experiences (GP711)
Children with cancer suffer tremendously during treatment. A child's cancer causes significant upheaval in the family. A parent whose child has died of cancer is at risk for complicated grief, yet little is known about the totality of the grief experiences of cancer-bereaved parents. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Lindsay Blazin, Belinda Mandrell, Justin Baker Source Type: research

Self-Reported Palliative Care Competencies: A Study of Licensed Nurses in the State of Texas (GP712)
The significance of this survey was to familiarize nurses with the 17 palliative care competencies developed in 2016, measure a baseline of palliative care competencies, provide a priority ranking for educational content based on license type, and identify key demographic data for targeted educational programs. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Cheryl Brohard Source Type: research

Ethical Concerns in the Care of Patients with Advanced Kidney Disease: A National Retrospective Study (GP713)
Understanding ethical concerns that arise in patient care may help identify opportunities to support medical decision-making. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Catherine Butler, Elizabeth Vig, Ann Ohare, Paul Hebert, Susan Wong Source Type: research

A Palliative Care Consult Trigger Tool for Trauma Patients: A Machine Learning Approach (GP714)
Trauma patients are at increased risk of unmet palliative care needs for many reasons. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Angelo Canedo, R Jonathan Robitsek, Alan Roth, Angelo Canedo Source Type: research

Unmet Informational Needs Among Nursing Home Residents Receiving Antibiotics: A Qualitative Study (GP715)
In the last six months of life, over half of nursing home (NH) residents receive an antibiotic, of which 40% are deemed unnecessary. Antibiotic use exposes vulnerable residents to potential adverse drug reactions (e.g., nausea, diarrhea) and increases residents' risk for opportunistic, painful, and potentially fatal infections. Existing evidence of NH residents' experiences and attitudes towards antibiotic use is limited. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Eileen Carter, Grace Mackson, Maureen George, Jingjing Shang, Pat Stone Source Type: research

Understanding the Intersection of Pediatric Palliative Care and Child Abuse Pediatrics (GP716)
The intersection of Pediatric Palliative Care (PPC) and child maltreatment is clinically understood to occur. To this point there has not been any published research on the scope of the problem nor any description of the patients who fall into this overlap. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Ross Cleveland, Patricia Keefer Source Type: research

Discordance Between Surrogate Goals of Care and Medical Treatments Received by Hospitalized Older Adults (GP717)
Providing high-quality medical care to seriously ill patients requires that medical treatments are aligned with patients' goals. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Amber Comer, Susan Hickman, James Slaven, Patrick Monahan, Greg Sachs, Lucia Wocial, Emily Burke, Alexia Torke Source Type: research

Opportunities for Palliative Care in Patients with Burn Injury —A Systematic Review (GP718)
Patients with significant burn injuries likely have palliative care needs. We performed a systematic review of existing evidence concerning the palliative care needs of burn patients. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Allyson Cook, Jessica Langston, Joshua Jaramillo, Kristin Edwards, Hong-Nei Wong, Rebecca Aslakson Source Type: research

Assessing Patient Readiness to Engage in End-of-life Discussions: Development and Pilot Testing of the End-of-Life Readiness Assessment (ERA) Survey (GP719)
An emerging theoretical framework on the relationship between sensitive end-of-life (EOL) discussions and patient hope points to the mediating role that patient readiness may play. Additional research has also found that among some patients, engaging in and EOL conversation before they are ready may actually cause harm. Presently, health professionals do not have a way to measure patient readiness to engage in EOL discussions. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Alexis Coulourides Kogan, Julie Taguchi Source Type: research

Systematic Assessment of PC Need in Nursing Home Residents —An Approach to Improve Care (GP720)
A substantial proportion of nursing homes (NH) residents have palliative care (PC) needs. If and when PC assessment is conducted, it is on an individual case by case basis. Systematic approaches identifying PC needs of entire NH populations may allow for more efficient assessment and delivery of care and identify targets for enhanced NH PC quality. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Daniel David, Christine Ritchie Source Type: research