Open Access
Systematic Implementation of an Advance Directive Program in Nursing Homes
William Molloy,Gordon H. Guyatt,Rosalie Russo,Andrew R. Willan,Christine Harrison,Tim Standish,Peteris Darzins,Sacha Dubois +7 more
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TLDR
It is suggested that systematic implementation of a program to increase use of advance directives reduces health care services utilization without affecting satisfaction or mortality.About:
The article was published on 2017-01-01 and is currently open access. It has received 450 citations till now.read more
Citations
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Journal Article
Respecting end-of-life treatment preferences.
TL;DR: Family physicians can best respect the autonomy of patients by allowing the patient and family to prospectively identify relevant health care preferences, by sustaining an ongoing discussion about end-of-life preferences, and by abiding by the decisions their patients have made.
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Hospital Transfers of Skilled Nursing Facility (SNF) Patients Within 48 Hours and 30 Days After SNF Admission.
Joseph G. Ouslander,Ilkin Naharci,Gabriella Engström,Jill Shutes,David G. Wolf,Maria Rojido,Ruth M. Tappen,David Newman +7 more
TL;DR: The root cause analysis (RCA) performed by skilled nursing facility (SNF) staff was used to identify potential areas of focus for improving transitions between hospitals and SNFs.
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Expectations about and impact of the Liverpool Care Pathway for the dying patient in an Italian hospital.
TL;DR: Responses from the final FGs highlighted that physicians felt more confident with pain management and with discontinuing inappropriate treatment, and were more inclined to recognize the value of the nurses’ work.
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Meeting palliative care needs in post-acute care settings: "to help them live until they die".
Laura C. Hanson,Mary Ersek +1 more
TL;DR: The evidence that palliative care can be improved in post-acute care settings is discussed, including innovations in advance care planning, staff training, and systematic changes in clinical care practices.
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An outcomes evaluation of an Australian Hospital in the Nursing Home admission avoidance programme
TL;DR: A significant independent relationship between HINH programme enrolment and shorter in-hospital LOS was identified even after adjusting for other characteristics, and can impact on health service delivery.
References
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A controlled trial to improve care for seriously ill hospitalized patients: The study to understand prognoses and preferences for outcomes and risks of treatments (SUPPORT)
Alfred F. Connors,Neal V. Dawson,N. A. Desbiens,William J. Fulkerson,Lee Goldman,William A. Knaus,Joanne Lynn,R. K. Oye,M. Bergner,Ann M. Damiano,R. Hakim,D. J. Murphy,J. Teno,B. Virnig,Douglas P. Wagner,A. W. Wu,Y. Yasui,D. K. Robinson,B. Kreling +18 more
TL;DR: A 2-year prospective observational study (phase I) with 4301 patients followed by a two-year controlled clinical trial (phase II) with 4804 patients and their physicians randomized by specialty group to the intervention group or control group (n=2652).
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Users' guides to the medical literature. ii: how to use an article about therapy or prevention a. are the results of the study valid ?
Gordon H. Guyatt,David L. Sackett,Deborah J. Cook,Gordon Guyatt,Eric B Bass,Patrick Brill-Edwards,George P. Browman,Deborah Cook,Michael E. Farkouh,Hertzel C. Gerstein,Brian Haynes,Robert Hayward,Anne Holbrook,Roman Jaeschke,Elizabeth F. Juniper,Andreas Laupacis,Hui Lee,Mitchell Levine,Virginia Moyer,Jim Nishikawa,Andrew D Oxman,Ameen Patel,John Philbrick,W. Scott Richardson,Stephane Sauve,David L. Sackett,Jack Sinclair,K. S. Trout,Peter Tugwell,Sean Tunis,Stephen D. Walter,John W Williams,Mark Wilson +32 more
TL;DR: An internal medicine resident in a rheumatology rotation and seeing a 19-year-old woman who has had systemic lupus erythematosus diagnosed on the basis of a characteristic skin rash, arthritis, and renal disease is distressed by the rising creatinine level.
Journal ArticleDOI
Users' guides to the medical literature. II. How to use an article about therapy or prevention. A. Are the results of the study valid? Evidence-Based Medicine Working Group.
Journal ArticleDOI
Reliability of a Standardized Mini-Mental State Examination compared with the traditional Mini-Mental State Examination.
TL;DR: Although the improved reliability of the Standardized Mini-Mental State was achieved by reducing measurement noise, this advantage would likely occur in a broad spectrum of patients.
How to Use an Article About Therapy or Prevention
TL;DR: A 19 year-old woman who has had systemic lupus erythematosus diagnosed on the basis of a characteristic skin rash, arthritis, and renal disease is seeing an internal medicine resident in a rheumatology rotation.
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Patient Self-Determination Act. Implementing an information program in a nursing facility.
Marge Drugay,Geriann Gallagher +1 more