Patterns and Trends in Advance Care Planning Among Older Adults Who Received Intensive Care at the End of Life

Block, Brian L.; Jeon, Sun Young; Sudore, Rebecca L.; Matthay, Michael A.; Boscardin, W. John; Smith, Alexander K.

doi:10.1001/jamainternmed.2019.7535

Cited by 29 publications

(23 citation statements)

References 6 publications

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“…This is necessary to reduce suffering at the end of life, and help people with serious or life-limiting illness to maintain autonomy and dignity. 53 To neglect to pay close attention when educating these groups results in costly, ineffective and inefficient care.…”

Section: Customer Educationmentioning

confidence: 99%

Pandemic preparedness of community pharmacies for COVID-19

Bahlol

Dewey

2021

Research in Social and Administrative Pharmacy

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Background: Community pharmacies provide an important healthcare service, which is broadly established, and constitutes the preferred and initial contact for members of the community. The significant value of community pharmacies was further highlighted during the COVID-19 pandemic crisis. Objective: The assessment of community pharmacies preparedness for the COVID-19 pandemic. Methods: A cross-sectional interview survey of 1018 community pharmacies working in four regions of Egypt (South, East, Centre, and North). Data collection was conducted from 8-19 April 2020. Results: Availability of personal protective equipment (PPE) and medication was better than alcohol (70% conc.). Home delivery services were available in 49.1% of pharmacies. Infection control measures covering interactions between staff were in place in up to 99.5% of pharmacies. Conversely, there was less frequent availability of contactless payment (29.1%), hand sanitizers (62.1%) or masks (86.5%) for customer use, or a separate area for patients with suspected COVID-19 (64%). Verbal customer education (90.4%) was used preferably to written (81.3%). Despite high clinical knowledge and awareness (97.6%-99.2%), only 8.8% of pharmacists had reported suspected COVID-19 cases, however this varied significantly with pharmacist demographics (geographic region P < 0.001; pandemic training p < 0.001; position p = 0.019; age p = 0.046). Conclusions: Government and policymakers strive to mitigate the shortage of PPE and medication. More attention should be given to infection control measures around interactions between staff and customers to ensure community pharmacists are fit and able to provide continuity in their important role. Educating customers using regularly-updated posters, banners or signs will contribute to decreasing contact with patients, and reducing the number and duration of visits to the pharmacy. Pandemic preparedness of community pharmacists must also extend to reporting procedures. By avoiding under-reporting or over-reporting, community pharmacists will contribute to accurate monitoring of the national spread of infection.

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Section: Customer Educationmentioning

confidence: 99%

Pandemic preparedness of community pharmacies for COVID-19

Bahlol

Dewey

2021

Research in Social and Administrative Pharmacy

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“…5 Although approximately half (50.4%) of adults aged 65 and older report completing one or two EOL planning elements, only 28.8% have completed all 3 components of EOL planning (advance directive, surrogate decision maker, and communication about care preferences). 6 To better understand characteristics associated with future preparedness, the present study investigated the roles of demographic variables, dementia-related awareness, and perceived control in middle-aged and older adults’ preparation for future care needs (PFCN).…”

Section: Introductionmentioning

confidence: 99%

Preparation for Future Care Needs in Middle-Aged and Older Adults: What Promotes Feeling of Preparedness?

Yun

Greenberg

Maxfield

2020

Am J Hosp Palliat Care

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Objective: To examine whether demographic, dementia-related, and control-related variables predict preparation for future care needs (PFCN) in a sample of middle-aged and older adults. PFCN is defined in this study as a self-perceived sense of preparedness for one’s own future care needs, including general awareness of future care needs, gathering relevant information, decision-making about care preferences, concrete planning, and non-avoidance of care planning. Methods: Participants ( N = 122; age 40 to 88 years: M = 65.83, SD = 9.80) completed self-report measures in an in-person study. Hierarchical multiple regression was calculated to predict PFCN. Results: Being female, having more positive dementia attitudes, higher attribution to powerful others for health condition(s), and more completed end-of-life (EOL) planning significantly predicted greater PFCN. Conclusion: Findings indicate a positive relationship between objective (completed EOL planning items) and subjective (PFCN) components of planning, thus highlighting the importance of taking concrete steps in EOL planning to yield greater feelings of preparedness, which has been associated with positive psychological outcomes.

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“…Excluding benign bene it intratracheal intubation, but offering BLS only concentrated symptomatic treatment. Palliative addresses not only the issue of physical suffering from the disease, but also issues related to in all aspects: physiological, social, psychological of spiritual [2]. EMS must to provide complete, continuous, active emergency medical care to patients with life-threatening illnesses and by providing relief from signs and symptoms by improving the best possible quality of life.…”

Section: Introductionmentioning

confidence: 99%

Emergency care sick palliative and problems oncology in emergency department during the COVID-19 pandemic

Lenjani¹,

Baftiu²,

Rashiti³

et al. 2020

Arch Pathol Clin Res

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Emergency medical care in palliative patients during the COVID-19 pandemic, it is important to provide a consistent treatment for stable patients that should be consistent with the goals and benefits, the perspective of these patients, but avoiding palliative patients with a poor prognosis that is unlikely to survive. Cancer is the second leading cause of death in the world around 8.8 million deaths a year. Worldwide, about 7-10 million patients are diagnosed with cancer each year, recently there has been a significant increase in the number of cases diagnosed with cancer. About 70% of cancer deaths are in low- and middle-income countries. The goals of emergency medical care based on the criteria of BLS and ACLS, that is should be done “Do not do resuscitation, do not intubate but continue medical treatment excluding endotracheal intubation without prospects for the patient, but offering BLS only treatment concentrated symptomatic. ED is often the only place that can provide the necessary medical interventions (e.g., intravenous fluids or pain management medications. Medications as well as immediate access to advanced diagnostic tests when needed such as CT, RM and other diagnostic and treatment procedures.

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Patterns and Trends in Advance Care Planning Among Older Adults Who Received Intensive Care at the End of Life

Abstract: Drs Block and Jeon had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Cited by 29 publications

References 6 publications

Pandemic preparedness of community pharmacies for COVID-19

Pandemic preparedness of community pharmacies for COVID-19

Preparation for Future Care Needs in Middle-Aged and Older Adults: What Promotes Feeling of Preparedness?

Emergency care sick palliative and problems oncology in emergency department during the COVID-19 pandemic

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