Medicine and Health Sciences Commons^™

Inpatient Palliative Care Utilization In Sickle Cell Disease: Temporal Trends And Factors Associated With Usage, Lois C. Akpati

Research Colloquium

Background: Sickle cell disease (SCD) is a highly morbid condition notable for recurrent hospitalizations due to vaso-occlusive crises and complications of end-organ damage. Palliative care (PC) aims to provide holistic care to patients with serious chronic illnesses. Little is known about the use of inpatient palliative care services in adult patients with SCD.

Methods: We conducted a retrospective cross-sectional study utilizing data from the National Inpatient Sample (NIS) from 2008-2017. Patients >18 years old hospitalized with a primary or secondary ICD-9-CM and ICD-10-CM diagnosis of SCD were included. Outcome of interest was PC service utilization using ICD-9-CM and ICD-10-CM diagnosis …

African Americans In Home Health: Advance Care Planning And Acute Care Services Use, Sharon Bigger, Lee Glenn

Epsilon Sigma at-Large Research Conference

Background: Home health is the fastest-growing healthcare setting in the country. Through Home Health Value-Based Purchasing (HHVBP), the Center for Medicare and Medicaid Services (CMS) provides incentives or penalties to HHAs based on outcomes. Hospitalization and emergency department use are weighted heaviest as poor outcomes. HHVBP requires HHAs to report on whether they are engaging in advance care planning (ACP) conversations. For this study, ACP was defined as a conversation held in advance of a medical crisis with a loved one and/or a health care provider about goals; values; preferences for future medical treatments; and choice of a surrogate decision-maker. …

To Anticoagulate Or Not: Decision Making Surrounding Anticoagulation In Patients In Hospice And Palliative Care Programs, Erin Kelly, Do, John Liantonio, Md, Mba, Hdmc, Debra Vermette, Md

House Staff Quality Improvement and Patient Safety Conference (2020-)

Objectives

• Describe the current guidelines for CAT treatment. - Assess risk factors for bleeding and thrombosis in cancer patients and risk/benefits of anticoagulation.
• Recognize the need for individualized anticoagulation plans in order to make informed decisions that may differ from the guidelines.
• Propose anticoagulation in hospice if it will achieve the goals of the patient.

Exploring Nurses' Attitudes Toward Assisted Suicide: A Study Of Nurses Working With Terminally Ill Patients, Marjie L. Schoolfield

Scholar Week 2016 - present

Physician-assisted suicide, legalized in many states is becoming an option for patients diagnosed with a terminal illness. Nurse participation in physician-assisted suicide is not supported through state nurse practice acts or national nursing organizations, causing potential contradictions in practice rights for advanced practice nurses. The purpose of this study was to examine the attitudes of registered and advanced practice nurses who work with the terminally ill regarding the patient option of physician-assisted suicide. This quantitative research was conducted with hospice registered nurses employed by a hospice organization in the Midwest and included participants from states where physician-assisted suicide is legal, …

Touch Of Grace Project, Marie Eaton, Sarah Bear

Palliative Care Institute

Touch of Grace is a video-based training program on palliative and end-of-life care for nursing home and assisted living staff, including all non-licensed support staff.

Pre- and Post-test data and focus group feedback indicate that the Touch of Grace training program improved understanding of palliative and end of life concepts and also provided tools to improve staff interactions with families and residents during the final days of a resident’s life. As predicted, the largest shifts in understanding were seen in the non-licensed staff, although gains were seen in all staff groups. Some facility-wide procedural changes to support a more palliative …

Reality Check: Life Is 100% Fatal. Let's Talk About It, Micki Jackson

Palliative Care Institute

REALITY CHECK: Life is 100% fatal. Let's talk about it, is a guest editorial by Micki Jackson, community and patient advocate for out-patient palliative care and advance care planning in Bellingham, WA.

Honoring A Family’S Goals About A Meaningful Life And Death: A Case Study, Lauren Schmidt

Palliative Care Institute

Honoring a Family’s Goals about a Meaningful Life and Death: A case study: Lauren Schmidt, MSW, LICSW, palliative care consultant in the Division of Bioethics and Palliative Care at Seattle Children’s Hospital.

Objectives:

• To explore how a family’s own micro culture impacts views on quality of life and their child’s death.
• To identify how a family’s understanding of their child’s illness can evolve and change over time and how that impacts their choices.
• To talk about and understand some of our own internal biases, why they are normal, and how we can incorporate awareness into our practice so that …

Embracing Cultural Humility In Palliative Care: A Journey From The Professional To The Personal, Arika Patneaude

Palliative Care Institute

Arika Patneaude, MSW, LICSW - Embracing Cultural Humility in Palliative Care. Patneaude is part of the interdisciplinary team at Children's Hospital and will help us explore how cultural perspectives and beliefs intersect with access to and implementation of palliative care.

Objectives:

• Examine how our own personal cultural identities can (and do) intersect with those of the patients and families we serve

• Understand how the medical model “culture” can impact how a patient and family may make medical decisions at the end-of-life

• Describe how cultural identity impacts decision making at the end-of-life

• Explore the importance of understanding …

Pills, Needles, Support: Spiritual Care Can Improve Communication, And Compassion In The Healthcare Industry, Emily Schneider

Palliative Care Institute

A comprehensive literature review that looks at what spiritual care is, why it is important to healthcare, and how it can be implemented in the health care industry.

Non-Pharmacological Pain Strategies And Telehealth Delivery, Ardith Z. Doorenbos Phd, Rn, Faan

Palliative Care Institute

Telehealth is a rapidly growing field aimed at improving outcomes for people with chronic pain who may not be able to access specialty care. Dr. Doorenbos will explore the use of Telehealth and how to incorporate integrative therapies and innovative, cost-effective interventions that decrease chronic and palliative pain and can be widely used to improve quality of life.

Program - 2018 Palliative Care Institute Conference: Holistic Pain Management: Alternatives To The Opioids, Palliative Care Institute

Palliative Care Institute

No abstract provided.

Neurobehavior In Humans And Its Role In Alzheimer's Disease, Aghilas Belkadi, Sarah Levin Allen

Research Day

In a neurobehavioral lens, a human is defined as the balance of the mind, body, and brain. These systems function on their own and influence each other in a dynamic equilibrium. Interactions between these systems are observed in every aspect of life. A pathological example of this relationship is that depression, a state of mind, can increase the risk of developing cardiovascular diseases. By studying a neurobehavioral model of health, empirical links between psychology and neurobiology can be uncovered. The basis of this capstone is to understand how neurobehavior works in clinical practice. This capstone project involved observation of seniors …

We Are The Medicine, Madalynn Wendland, Toni Speed

Interprofessional Education

We are all healers— to ourselves, each other and the world around us. Whether you are on the path of becoming a health professional, or have been in practice for a long time, this half-day workshop will help you to view healing from a holistic perspective that draws from the ancient traditions while respecting contemporary science.

Peacehealth Advance Directives & Palliative Care, Scott Foster Md, Mph

Palliative Care Institute

Dr. Scott Foster, MD., MPH., Chief Medical Executive for PeaceHealth Medical Group, presented at the Your Voice-Your Choice: Let's Talk About It event on March 22, 2017 at St. Luke's Health Education Center.

Dr. Foster highlighted PeaceHealth's commitment to a comprehensive system for understanding, documenting and honoring patient values and goals for care at the end of life in all healthcare settings, including Advance Directives.

Northwest Life Passages Blueprint: Creating A Healing And Caring Community Of Excellence, Marie Eaton

Palliative Care Institute

Presentation to the Elder Service Providers Network about the Northwest Life Passages Blueprint on March 22, 2017.

Please Note: Look below at Additional Files to find an updated, 2019, version of the Northwest Life Passages Blueprint.

It Always Seems Too Early, Until It’S Too Late, Marie Eaton

Palliative Care Institute

What is Palliative Care?

• Specialized care for people living with chronic and serious illness.
• Goal is to improve quality of life for both the patient and the family when cure is not possible.
• Focuses on providing relief from the symptoms and stress of a serious illness
• Provided by an interdisciplinary team of palliative care doctors, nurses, social workers, chaplains, family members and others who work together to provide an extra layer of support.
• Appropriate at any age and at any stage in a serious illness and can be provided along with curative treatment

Aging And End-Of-Life Care In China: Cultural Traditions And Modern Practices, Baozhen Luo, Li Xu

Palliative Care Institute

For over 2000 years, Confucianism, Daoism, and Buddhism, three pillars of Chinese traditional culture, have guided Chinese people as they approach questions of how to age and how to die. Although these traditions are still woven in the fabric of everyday life, massive economic and political transformations in recent decades have drastically reshaped Chinese people’s beliefs and practices toward aging and end-of-life care.

In this presentation, Dr. Xu Li and Dr. Baozhen Luo will share insights and stories about cultural practices in the care of the elders in China from the past to the present.

Program - Palliative Care Institute: Death Happens: Let's Talk About Your Choices, Palliative Care Institute

Palliative Care Institute

No abstract provided.

Nausea/Vomiting/Anorexia, Bree Johnston Md, Mph

Palliative Care Institute

By the end of this talk, the learner should be able to: –Identify anorexia as a common source of distress for both patients and caregivers –Discuss the importance of framing and exploring meaning when dealing with patients with anorexia –Discuss the prevalence of anorexia, nausea, and vomiting among patients with serious illness –Discuss the evidence for various pharmacologic approaches to anorexia, nausea, and vomiting –Discuss nonpharmacologic approaches to anorexia, nausea, and vomiting

Realities Of Advanced Medical Interventions, Koala (Maureen) Connelly Rn, Cathy Mcconechy

Palliative Care Institute

Strategies for sharing risks and benefits of advanced medical interventions and the implications for patients’ abilities to make informed decisions.

Understanding Death With Dignity Legislation: A Necessity For The Palliative Care Provider, Frances Derook Md

Palliative Care Institute

Evidence and experience to date of Death with Dignity in Washington and Oregon.

Program - Palliative Care Summer Institute: A Call To Action, Palliative Care Institute

Palliative Care Institute

No abstract provided.