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Survival, Functional Status, and Eating Ability After Percutaneous Endoscopic Gastrostomy Tube Placement for Acute Stroke
ConclusionIn this community‐based sample, individuals who had had a stroke and a PEG tube placed had high mortality, and survivors were unlikely to be functional or mobile or to recover eating ability after hospitalization. A palliative care discussion including goals of care should occur before PEG tube placement is considered.
Source: Journal of the American Geriatrics Society - April 27, 2017 Category: Geriatrics Authors: Karl Meisel, Robert M. Arnold, Irena Stijacic Cenzer, John Boscardin, Alexander K. Smith Tags: Brief Report Source Type: research

The lack of documentation of preferences in a cohort of adults who died after ischemic stroke
Conclusions: Documented discussions about limitations on life-sustaining interventions during hospitalization were low, even though this cohort died within 30 days poststroke. Improving the documentation of preferences may be difficult given the 2015 Centers for Medicare and Medicaid 30-day stroke mortality hospital performance measure that is unadjusted for patient preferences regarding life-sustaining interventions.
Source: Neurology - May 29, 2016 Category: Neurology Authors: Robinson, M. T., Vickrey, B. G., Holloway, R. G., Chong, K., Williams, L. S., Brook, R. H., Leng, M., Parikh, P., Zingmond, D. S. Tags: Outcome research, Quality of life, Infarction, Palliative care ARTICLE Source Type: research

Hospice Composition Based on Diagnosis is Associated with Caregiver-Reported Quality Measures
Conclusion: Hospices that cared for a greater proportion of dementia and stroke patients had poorer scores on caregiver-reported quality measures. These findings support efforts to identify mechanisms underlying these differences and to design strategies to ensure optimal outcomes for hospice patients regardless of diagnosis.PMID:35442840 | DOI:10.1177/10499091221088497
Source: The American Journal of Hospice and Palliative Care - April 20, 2022 Category: Palliative Care Authors: Sulaiman Alshakhs Elisabeth Sweet Elizabeth Luth M C Reid Charles R Henderson Veerawat Phongtankuel Source Type: research

If you could propose one idea to help improve health care delivery in the United States, what would it be?
Thumbnail: Tags: conversationsphrma conversationslarry hausnermyrl weinbergchris hansennancy brownContributors: 11621161115911631173Contributions: Read Larry Hausner's bio Despite the rapid development of innovative technologies in the health care field, we have yet to discover a panacea that will easily transform our health care system into one that provides high-quality and cost-effective care.  What we have discovered and come to agree on over the last decade is that our sick care system must be reconfigured to a health care system that emphasizes wellness and prevention.  For that reason, I offer ...
Source: PHRMA - June 24, 2013 Category: Pharmaceuticals Authors: rlowe Source Type: news

Abstract 118: Discharge Medications, Hospice Use and 30 Day Outcomes for Hospitalized Heart Failure Patients Session Title: Poster Session I
Conclusions: As heart failure progresses, transfer to palliative or hospice services is often appropriate. Including patients when death is imminent in outcome analyses could overestimate medication effects. Mechanisms for identifying such patients other than hospice use are limited but constitute an important goal for future research.
Source: Circulation: Cardiovascular Quality and Outcomes - April 29, 2015 Category: Cardiology Authors: Stearns, S. C., Rodgers, J. E., Chang, P. P., Sueta, C. A. Tags: Session Title: Poster Session I Source Type: research

“It's not something that's really been brought up”: Opportunities and challenges for ongoing advance care planning discussions among individuals living with mechanical circulatory support
Advance care planning (ACP) among individuals living with a mechanical circulatory support (MCS) device is complex as the trajectory is typified by recurring life-threatening complications with a limited three-year survival rate of 57%.1 Additionally, 89.2% of MCS patients report experiencing complications such as gastrointestinal bleeding, stroke, and sepsis.2 –4 Against this background, in 2013, the Centers for Medicare and Medicaid Services (CMS) and the Joint Commission required MCS teams to include palliative care consultations to enhance ACP communication early in the trajectory, specifically during the evaluation for MCS surgery.
Source: Heart and Lung - March 23, 2022 Category: Intensive Care Authors: Tiffany Dzou, Jaime D. Moriguchi, Lynn Doering, Jo-Ann Eastwood, Carol Pavlish, Huibrie C. Pieters Source Type: research