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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Diagnosis and Disruption: Population-Level Analysis Identifying Points of Care at Which Transitions Are Highest for People with Dementia and Factors That Contribute to Them
TL;DR: To examine transitions that individuals with dementia experience longitudinally and to identify points of care when transitions are highest and the factors that contribute to those transitions.
Journal ArticleDOI
A cluster randomized controlled trial on the effects and costs of advance care planning in elderly care: study protocol.
Ida J. Korfage,Judith A.C. Rietjens,Anouk Overbeek,Lea J. Jabbarian,Pascalle Billekens,Bernard J. Hammes,Ellen Hansen-van der Meer,Suzanne Polinder,Johan Severijnen,Siebe J. Swart,Frederika E Witkamp,Agnes van der Heide +11 more
TL;DR: The effects of Advance Care Planning (ACP) will lead to better patient activation in medical decision making and quality of life, while reducing the number of medical interventions and thus health care costs, according to frail older people.
Journal ArticleDOI
Systematic Advance Care Planning and Potentially Avoidable Hospitalizations of Nursing Facility Residents
Susan E. Hickman,Kathleen T. Unroe,Kathleen T. Unroe,Mary Ersek,Mary Ersek,Timothy E. Stump,Wanzhu Tu,Wanzhu Tu,Monica Ott,Greg A. Sachs,Greg A. Sachs +10 more
TL;DR: The purpose of this study was to describe associations between ACP documentation resulting from the OPTIMISTIC intervention and hospitalizations.
Journal ArticleDOI
Staff Training Interventions to Improve End-of-Life Care of Nursing Home Residents: A Systematic Review.
Pauli J. Lamppu,Kaisu H. Pitkälä +1 more
TL;DR: Irrespective of the means of staff training, there were surprisingly few effects of education on residents' QOL, QOD, or burdensome hospitalizations and further studies are needed to explore the reasons behind these findings.
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The experience of advance care planning discussion among older residents in a long-term care institution: A qualitative study
TL;DR: The ACP process involved not only personal ideas about good death but also families' concerns, and uncertainty and lack of information created difficult barriers in participants' ability and willingness to plan for end of life.
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.
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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.
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