The Association Between an Electronic Health Record (EHR)-Embedded Frailty Index and Patient-Reported Outcomes Among Patients with Metastatic Non-Small-Cell Lung Cancer on Immunotherapy: A Brief Report
Conclusion: Pre-frail and frail mNSCLC patients identified by the eFI have higher rates of pain and physical functional impairments than non-frail patients. These findings highlight the importance of emphasizing preventive interventions targeting social needs, functional limitations, and pain management, especially among pre-frail patients to reduce further decline.PMID:38133583 | DOI:10.1177/10499091231223964 (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - December 22, 2023 Category: Palliative Care Authors: Jennifer Gabbard Saadia Nur Beverly J Levine Thomas W Lycan Nicholas Pajewski Erica Frechman Kathryn E Callahan Heidi Klepin Laurie E McLouth Source Type: research

The Association Between an Electronic Health Record (EHR)-Embedded Frailty Index and Patient-Reported Outcomes Among Patients with Metastatic Non-Small-Cell Lung Cancer on Immunotherapy: A Brief Report
Conclusion: Pre-frail and frail mNSCLC patients identified by the eFI have higher rates of pain and physical functional impairments than non-frail patients. These findings highlight the importance of emphasizing preventive interventions targeting social needs, functional limitations, and pain management, especially among pre-frail patients to reduce further decline.PMID:38133583 | DOI:10.1177/10499091231223964 (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - December 22, 2023 Category: Palliative Care Authors: Jennifer Gabbard Saadia Nur Beverly J Levine Thomas W Lycan Nicholas Pajewski Erica Frechman Kathryn E Callahan Heidi Klepin Laurie E McLouth Source Type: research

The Association Between an Electronic Health Record (EHR)-Embedded Frailty Index and Patient-Reported Outcomes Among Patients with Metastatic Non-Small-Cell Lung Cancer on Immunotherapy: A Brief Report
Conclusion: Pre-frail and frail mNSCLC patients identified by the eFI have higher rates of pain and physical functional impairments than non-frail patients. These findings highlight the importance of emphasizing preventive interventions targeting social needs, functional limitations, and pain management, especially among pre-frail patients to reduce further decline.PMID:38133583 | DOI:10.1177/10499091231223964 (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - December 22, 2023 Category: Palliative Care Authors: Jennifer Gabbard Saadia Nur Beverly J Levine Thomas W Lycan Nicholas Pajewski Erica Frechman Kathryn E Callahan Heidi Klepin Laurie E McLouth Source Type: research

Narrative Medicine in Hospice and Palliative Care: A Longitudinal Fellowship Curriculum Pilot
DISCUSSION: This novel NM curriculum was feasible and acceptable to implement in a 1-year HPM fellowship. Longitudinal impact showed sustained increase in trainee comfort and interest in using NM in their future clinical practice.PMID:38128066 | DOI:10.1177/10499091231223717 (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - December 21, 2023 Category: Palliative Care Authors: Trisha K Paul Taylor Aglio Austin Dalgo Erica C Kaye Source Type: research

Management of Critical Glucose Values in Hospice
Conclusions: The implementation of hospice insulin sliding scale order sets and SOP on the management of critical glucose values in hospice reduced the number of critical glucose values.PMID:38128586 | DOI:10.1177/10499091231223748 (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - December 21, 2023 Category: Palliative Care Authors: Belal Dakroub Sandra L DiScala Christine M Vartan Maura F Miller Michael Silverman Swati Chalavarya Source Type: research

In-Hospital Code Status Updates: Trends Over Time and the Impact of COVID-19
CONCLUSION: This study highlights the importance of regular updates and discussions regarding code status to enhance patient care and resource allocation in ICU and ED settings. The COVID-19 pandemic's influence on shifting patient preferences towards full code status underscores the need for adaptable documentation practices. Emphasizing patient education about DNR implications and benefits is key to supporting informed decisions that reflect individual health contexts and values. This approach will help balance the considerations for DNR and full code choices, especially during health care crises.PMID:38111223 | DOI:10.1...
Source: The American Journal of Hospice and Palliative Care - December 19, 2023 Category: Palliative Care Authors: Amirreza Sahebi-Fakhrabad Eda Kemahlioglu-Ziya Robert Handfield Stacy Wood Mehul D Patel Cristen P Page Lydia Chang Source Type: research

"Postponing it Any Later Would not be so Great": A Cognitive Interview Study of How Physicians Decide to Initiate Goals of Care Discussions in the Hospital
CONCLUSION: Participants were hesitant to commit to the present moment as the right time for GOC discussions based on variations in clinical presentation. Clinical decision support systems that include more targeted information about risk of clinical deterioration and likelihood of reversal of the acute condition may prompt physicians to discuss GOC, but more support for managing discomfort with uncertainty is also needed.PMID:38111300 | DOI:10.1177/10499091231222926 (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - December 19, 2023 Category: Palliative Care Authors: Elizabeth Chuang Sabrina Gugliuzza Ammar Ahmad Michael Aboodi Michelle Ng Gong Amber E Barnato Source Type: research

What Matters Most: The Documented Goals, Values and Motivators of Advanced Cancer Patients
CONCLUSIONS: Review of oncologist documented goals of care conversations using a prompt-based template allowed for characterization of the clinical context, therapy goals and motivators of advanced cancer patients. Communication of goals of care conversations by oncologists using a standardized prompt-based template within a centralized location has the potential to improve delivery of goal concordant care.PMID:38112439 | DOI:10.1177/10499091231223144 (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - December 19, 2023 Category: Palliative Care Authors: Ashley Aller Aida Shirazi Leon Pedell Andrea Altschuler Karen Hauser Megan Cheslock Jenny Wei Ali Duffens Hannah Whitehead Peggy Lim Jed Katzel Francisco Martinez Amy Lin Steve Aller Cynthia Aller Tyler Jones Sue May Yen Raymond Liu Source Type: research

Development and Validation of the Home Hospice Care Needs Questionnaire for the Dying Old Adult (HHCNQ-DE) in Mainland China
Conclusion: The construction method of the HHCNQ-DE is scientific and reliable, with good reliability and validity, and it can be used as a tool to measure the needs of home hospice care in mainland China in the future.PMID:38114232 | DOI:10.1177/10499091231223486 (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - December 19, 2023 Category: Palliative Care Authors: Lei Wang Yaru Li Rui Zhao Jiangxu Li Xiangru Gong Hongyu Li Source Type: research

In-Hospital Code Status Updates: Trends Over Time and the Impact of COVID-19
CONCLUSION: This study highlights the importance of regular updates and discussions regarding code status to enhance patient care and resource allocation in ICU and ED settings. The COVID-19 pandemic's influence on shifting patient preferences towards full code status underscores the need for adaptable documentation practices. Emphasizing patient education about DNR implications and benefits is key to supporting informed decisions that reflect individual health contexts and values. This approach will help balance the considerations for DNR and full code choices, especially during health care crises.PMID:38111223 | DOI:10.1...
Source: The American Journal of Hospice and Palliative Care - December 19, 2023 Category: Palliative Care Authors: Amirreza Sahebi-Fakhrabad Eda Kemahlioglu-Ziya Robert Handfield Stacy Wood Mehul D Patel Cristen P Page Lydia Chang Source Type: research

"Postponing it Any Later Would not be so Great": A Cognitive Interview Study of How Physicians Decide to Initiate Goals of Care Discussions in the Hospital
CONCLUSION: Participants were hesitant to commit to the present moment as the right time for GOC discussions based on variations in clinical presentation. Clinical decision support systems that include more targeted information about risk of clinical deterioration and likelihood of reversal of the acute condition may prompt physicians to discuss GOC, but more support for managing discomfort with uncertainty is also needed.PMID:38111300 | DOI:10.1177/10499091231222926 (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - December 19, 2023 Category: Palliative Care Authors: Elizabeth Chuang Sabrina Gugliuzza Ammar Ahmad Michael Aboodi Michelle Ng Gong Amber E Barnato Source Type: research

What Matters Most: The Documented Goals, Values and Motivators of Advanced Cancer Patients
CONCLUSIONS: Review of oncologist documented goals of care conversations using a prompt-based template allowed for characterization of the clinical context, therapy goals and motivators of advanced cancer patients. Communication of goals of care conversations by oncologists using a standardized prompt-based template within a centralized location has the potential to improve delivery of goal concordant care.PMID:38112439 | DOI:10.1177/10499091231223144 (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - December 19, 2023 Category: Palliative Care Authors: Ashley Aller Aida Shirazi Leon Pedell Andrea Altschuler Karen Hauser Megan Cheslock Jenny Wei Ali Duffens Hannah Whitehead Peggy Lim Jed Katzel Francisco Martinez Amy Lin Steve Aller Cynthia Aller Tyler Jones Sue May Yen Raymond Liu Source Type: research

Development and Validation of the Home Hospice Care Needs Questionnaire for the Dying Old Adult (HHCNQ-DE) in Mainland China
Conclusion: The construction method of the HHCNQ-DE is scientific and reliable, with good reliability and validity, and it can be used as a tool to measure the needs of home hospice care in mainland China in the future.PMID:38114232 | DOI:10.1177/10499091231223486 (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - December 19, 2023 Category: Palliative Care Authors: Lei Wang Yaru Li Rui Zhao Jiangxu Li Xiangru Gong Hongyu Li Source Type: research

In-Hospital Code Status Updates: Trends Over Time and the Impact of COVID-19
CONCLUSION: This study highlights the importance of regular updates and discussions regarding code status to enhance patient care and resource allocation in ICU and ED settings. The COVID-19 pandemic's influence on shifting patient preferences towards full code status underscores the need for adaptable documentation practices. Emphasizing patient education about DNR implications and benefits is key to supporting informed decisions that reflect individual health contexts and values. This approach will help balance the considerations for DNR and full code choices, especially during health care crises.PMID:38111223 | DOI:10.1...
Source: The American Journal of Hospice and Palliative Care - December 19, 2023 Category: Palliative Care Authors: Amirreza Sahebi-Fakhrabad Eda Kemahlioglu-Ziya Robert Handfield Stacy Wood Mehul D Patel Cristen P Page Lydia Chang Source Type: research

"Postponing it Any Later Would not be so Great": A Cognitive Interview Study of How Physicians Decide to Initiate Goals of Care Discussions in the Hospital
CONCLUSION: Participants were hesitant to commit to the present moment as the right time for GOC discussions based on variations in clinical presentation. Clinical decision support systems that include more targeted information about risk of clinical deterioration and likelihood of reversal of the acute condition may prompt physicians to discuss GOC, but more support for managing discomfort with uncertainty is also needed.PMID:38111300 | DOI:10.1177/10499091231222926 (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - December 19, 2023 Category: Palliative Care Authors: Elizabeth Chuang Sabrina Gugliuzza Ammar Ahmad Michael Aboodi Michelle Ng Gong Amber E Barnato Source Type: research