It is well accepted that attention to spiritual concerns a core dimension of palliative care. similarly chaplains are the care specialists who should address such concerns. However, what do when they provide for patients and families often poorly understood by their colleagues. Having clear understanding important because it contributes improved utilization other resources team thereby better families. The aim this study was describe physicians, nurses, social workers understand about do....

OBJECTIVES: To assess the quality of care for hospitalized vulnerable elders using measures based on Assessing Care Vulnerable Elders (ACOVE) indicators (QIs). DESIGN: Prospective cohort study. SETTING: Single academic medical center. PARTICIPANTS: Subjects aged 65 and older University Chicago general medicine inpatient service who were defined as Elder Survey‐13 (VES‐13), a validated tool age, self‐reported health, functional status. MEASUREMENTS: Inpatient interview chart review...

Palliative medicine is a rewarding field, but providers encounter patient trauma on routine basis. Compassion fatigue, marked by burnout, secondary traumatic stress, and low satisfaction may result. However, professionals differ markedly in how they respond to trauma. The objective of the current study was determine whether personality traits neuroticism agreeableness relate aspects compassion after accounting for time spent working field.Sixty-six palliative physicians, nurses, social...

Mental health symptoms are common in the general population and overrepresented patients receiving palliative care hospice services. This introduction to special issue on Health Palliative Care Hospice highlights ongoing need for research training prepare our workforce address concerns of experiencing serious illness mental concerns. Multilevel approaches needed enhance understanding needs among people with illness. Public outreach is within communities, targeted support family caregivers,...

Attending to the religious/spiritual (R/S) concerns of patients is a core component palliative care. A primary responsibility chaplain conduct thorough assessment care patients' R/S needs and resources. Problems with current approaches spiritual in all clinical contexts, including care, include limited evidence for their validity, reliability, or usefulness; narrative content; lack specificity.

Background: Despite an increase in the content of palliative medicine curricula medical schools, students are rarely exposed to end-of-life (EOL) care through real-patient experiences during their preclinical education. Objective: To evaluate utility and impact exposure EOL for first year (MS-1s) a hospice volunteer experience. Methods: Patients Families First (PFF), training program care, was piloted on three cohorts MS-1s as elective. Fifty-five received 3 hours training, were then...

This quality improvement study examines the effectiveness of having a board-certified chaplain conduct advance care planning conversations and end life preferences with patients at time routine office visit physician.

Abstract BACKGROUND: The University of Chicago Curriculum for the Hospitalized Aging Medical Patient (CHAMP) faculty development program (FDP) is targeted at hospitalists and other internists who teach residents students in hospital setting. aim CHAMP to increase quantity quality teaching geriatric medicine pertinent inpatient METHODS: Hospitalist general internist members attend on Medicine service were invited participate. FDP consisted twelve 4‐hour sessions. Two hours each session...

Background: Nurses play an integral role in providing care for patients with end of life (EOL) symptoms refractory to conventional treatments and that may necessitate palliative sedation (PS). A paucity research on nurses' attitudes, knowledge, experience PS exists, despite nurses being instrumental evaluating its appropriateness carrying out the plan. Objective: The objective study was elicit perspectives conceptualizations knowledge skills needed administer order inform development a...

Coronavirus Disease 2019 (COVID-19) has had an impact on nutrition at individual, community, national, and global levels.1Naja F. Hamadeh R. Nutrition amid the COVID-19 pandemic: A multi-level framework for action.Eur J Clin Nutr. 2020; 74: 1117-1121Crossref PubMed Scopus (313) Google Scholar been associated with weight loss also linked to cachexia sarcopenia.2Morley J.E. Kalantar-Zadeh K. Anker S.D. COVID-19: major cause of sarcopenia?.J Cachexia Sarcopenia Muscle. 11: 863-865Crossref (130)...

Few studies present clinical management approaches and outcomes of coronavirus disease 2019 (COVID-19) outbreaks in skilled nursing facilities (SNFs). We describe a pathway for large COVID-19 outbreak an urban SNF with predominantly racial minority (>90% black), medically complex, older residents.

An outbreak of SARS-CoV-2 in a skilled nursing facility (SNF) can be devastating for residents and staff. Difficulty identifying asymptomatic presymptomatic cases lack vaccination or treatment options make management challenging. We created, implemented, now present guide to rapidly deploy point-prevalence testing 3-tiered cohorting an SNF mitigate outbreak. outline key challenges cohorting.

Background The primary care workforce is under-prepared to for the growing older adult population. Extension Community Healthcare Outcomes (ECHO) a continuing education intervention that connects subspecialists and community health providers (HCPs) via videoconferencing technology didactic case-discussion sessions. Methods: We asked participants complete 8 12 educational telementoring These sessions were conducted between February 2016 October 2017. Pre/post surveys of self-efficacy...

Aims: Our primary aims were to assess growth in the local hospital based workforce, changes composition of workforce and use an interdisciplinary team, sources support for palliative medicine teams hospitals participating a regional training program Chicago. Methods: PC directors administrators at 16 sites sent electronic survey on institutional characteristics such as: type, number beds, staffing composition, programs offered, start-up years, service utilization financial fiscal years 2012...

Post-acute and long-term care facilities, known as skilled nursing facilities (SNFs), are high risk for severe COVID-19 outbreaks, have potential presymptomatic/asymptomatic transmission, may poor outcomes due to severity of disease in older adults.1, 2 Facilities must keep up-to-date with information adapt rapidly changing practices. The Project Extension Community Healthcare Outcomes (ECHO) model has been used extensively urban rural settings provide telementoring healthcare workers a...

Background: The Cultivating Health and Aging Researchers by Integrating Science, Medicine, (CHARISMA) program at the University of Chicago (UC), is an NIA-funded longitudinal clinical research training for undergraduate students from groups underrepresented in sciences medicine. CHARISMA participate aging-focused: 1) realistic career experience, 2) didactic curriculum, 3) multi-tiered mentorship program. This manuscript describes early quantitative data demonstrating its success. Methods:...

Cancer, a disease of aging, is present in up to 15% post-acute and long-term care (PALTC) admissions (defined here as subacute rehabilitation [SAR] [LTC]).1 Nearly 30% patients with advanced cancer who are admitted PALTC facilities will require significant treatment coordination.2 As the evidence base for treating older adults continues build,3 there remain growing concerns disparities management those compared community-dwelling adults, particularly relation transitions (TOC). These...