Palliative Care Consultation and End-of-life Outcomes in Hospitalized COVID-19 Patients

Palliative Care Consultation and End-of-life Outcomes in Hospitalized COVID-19 Patients

Palliative care consultation was not associated with CPR performed at the end-of-life but was associated with increased incidence of comfort care being utilized. These results suggest that utilizing palliative care consultation... read more

Variation in Pediatric Palliative Care Allocation Among Critically Ill Children in the United States

Variation in Pediatric Palliative Care Allocation Among Critically Ill Children in the United States

Palliative care consultation for critically ill children in the United States is low. Palliative care utilization is increasing but considerable variation exists across institutions, suggesting inequity in palliative care... read more

Palliative Care Considerations For Patients With Cardiovascular Disease Under COVID-19

Palliative Care Considerations For Patients With Cardiovascular Disease Under COVID-19

COVID-19 has dramatically altered our world, health care systems and supply chains. Older adults with cardiovascular disease especially those over 80 years suffer disproportionately. This pandemic has stressed the capacity... read more

Association of Initiation of Dialysis with Hospital Length of Stay and Intensity of Care in Older Adults With Kidney Failure

Association of Initiation of Dialysis with Hospital Length of Stay and Intensity of Care in Older Adults With Kidney Failure

In this cohort study, compared with non-dialysis care, patients who received maintenance dialysis spent more time in the hospital and were more likely to be admitted to intensive care units. This finding suggests trade-offs... read more

Is Intensive Care Becoming an Out-of-hours Acute Palliative Care Service?

Is Intensive Care Becoming an Out-of-hours Acute Palliative Care Service?

First I will define what I conceive medicine to be. In general terms, it is to do away with the sufferings of the sick, to lessen the violence of their diseases, and to refuse to treat those who are overmastered by their... read more

That Good Night: Life and Medicine in the Eleventh Hour

That Good Night: Life and Medicine in the Eleventh Hour

As the American born daughter of immigrants, Dr. Sunita Puri knew from a young age that the gulf between her parents' experiences and her own was impossible to bridge, save for two elements: medicine and spirituality. Between... read more

Palliative Care in the Emergency Department As Seen By Providers and Users

Palliative Care in the Emergency Department As Seen By Providers and Users

This study provides insights into targets for changes in Italian Emergency Departments. Room for improvement relates to training for healthcare professionals on palliative care, the development of a shared care pathway for... read more

Evidence-Based Practice of Palliative Medicine

Evidence-Based Practice of Palliative Medicine

Evidence-Based Practice of Palliative Medicine is the only book that uses a practical, question-and-answer approach to address evidence-based decision making in palliative medicine. Dr. Nathan E. Goldstein and Dr. R.... read more

Palliative Care Nursing: Quality Care to the End of Life

Palliative Care Nursing: Quality Care to the End of Life

This fourth edition of a comprehensive text/reference that has been valued by students, educators, and practicing nurses for many years, Palliative Care Nursing continues to reflect the fundamental hospice and palliative... read more

The ABC’s of Palliative Care in the Emergency Department

The ABC’s of Palliative Care in the Emergency Department

Many of us have heard the saying that emergency medicine is the best 15 minutes of every other specialty. This, is in part, due to the wide breadth of disease and knowledge one must have to take care of patients. In emergency... read more

Teaching Internal Medicine Residents About Palliative Care

Teaching Internal Medicine Residents About Palliative Care

A survey of nearly 800 resident physicians suggested that 90% deemed their residency education on the topic to be inadequate; 25% did not feel comfortable discussing end-of-life care with patients. Teachable moments in medicine... read more

Should doctors be required to inform patients of their palliative care rights?

Should doctors be required to inform patients of their palliative care rights?

I overheard a colleague admit an 84-year-old woman to the hospital from the emergency department for a sizable mass in her uterus — no doubt, cancerous. I pictured a frail woman who’d been suffering for a while and was... read more

Attitudes, Beliefs, and Awareness of Graduate Medical Education Trainees Regarding Palliative Care

Attitudes, Beliefs, and Awareness of Graduate Medical Education Trainees Regarding Palliative Care

Surgical trainees and trainees without previous PC rotation had significantly less awareness of PC. Overall, trainees perceived PC as beneficial to patients and capable of reducing costs while increasing survival; they also... read more

Meta-Analysis Shows Mixed Results with Palliative Care

Meta-Analysis Shows Mixed Results with Palliative Care

Palliative care was tied to some improvements in quality of life (QOL) in critically ill patients, but the impact on caregiver outcomes was mixed, and there was no significant association between palliative care delivery... read more

A New Algorithm Identifies Candidates for Palliative Care by Predicting When Patients Will Die

A New Algorithm Identifies Candidates for Palliative Care by Predicting When Patients Will Die

End-of-life care can be stressful for patients and their loved ones, but a new algorithm could help provide better care to people during their final months. A paper published in arXiv by researchers from Stanford describes... read more

Palliative Care in Advanced HF Makes a Big Difference in Rare Controlled Trial

Palliative Care in Advanced HF Makes a Big Difference in Rare Controlled Trial

Patients with end-stage heart failure who received palliative care from an interdisciplinary team, along with usual evidence-based care, significantly improved in functional, psychosocial, and spiritual well-being compared... read more

Critical care at the end of life: a population-level cohort study of cost and outcomes

Critical care at the end of life: a population-level cohort study of cost and outcomes

Despite the high cost associated with ICU use at the end of life, very little is known at a population level about the characteristics of users and their end of life experience. In this study, our goal was to characterize... read more