A5083945085- Palliative Care and End-of-Life Issues
- Patient Dignity and Privacy
- Family and Patient Care in Intensive Care Units
- Grief, Bereavement, and Mental Health
- Childhood Cancer Survivors' Quality of Life
- Ethics in medical practice
- Patient-Provider Communication in Healthcare
- Ethics and Legal Issues in Pediatric Healthcare
- Religion, Spirituality, and Psychology
- Geriatric Care and Nursing Homes
- Healthcare Decision-Making and Restraints
- Health Systems, Economic Evaluations, Quality of Life
- Dementia and Cognitive Impairment Research
- Cancer survivorship and care
- Healthcare Policy and Management
- Frailty in Older Adults
- Medical Malpractice and Liability Issues
- Respiratory Support and Mechanisms
- Emergency and Acute Care Studies
- Global Cancer Incidence and Screening
- Clinical practice guidelines implementation
- Hip and Femur Fractures
- Optimism, Hope, and Well-being
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Arrest and Resuscitation
Indiana University Health
2016-2025
Indiana University – Purdue University Indianapolis
2016-2025
Indiana University School of Medicine
2016-2025
Regenstrief Institute
2016-2025
Indiana University
2015-2024
University School
2013-2023
Eskenazi Health Foundation
2023
Eskenazi Health
2023
Richard L. Roudebush VA Medical Center
2022
Lynn University
2022
<h3>Importance</h3> Hospitalized older adults often lack decisional capacity, but outside of the intensive care unit and end-of-life settings, little is known about frequency decision making by family members or other surrogates its implications for hospital care. <h3>Objective</h3> To describe scope surrogate making, course, outcomes adults. <h3>Design, Setting, Participants</h3> Prospective, observational study conducted in medicine medical services 2 hospitals 1 Midwestern city 1083...
Although there is a growing recognition that older adults and those with extensive comorbid conditions undergo cancer screening too frequently, little information about patients' perceptions regarding cessation of screening. Information on adults' views would be helpful both for clinicians designing interventions to reduce overscreening.To obtain deeper understanding perspectives their experiences communicating this topic.Semistructured interview study.Senior health center affiliated an...
BackgroundHospitalized older adults frequently have impaired cognition and must rely on surrogates to make major medical decisions. Ethical standards for surrogate decision making are well delineated, but little is known about what factors actually consider when decisions.ObjectivesTo determine makers decisions hospitalized adults, whether or not they adhere established ethical standards.DesignSemi-structured interview study of the experience process making.SettingA public safety-net...
In this position statement, we define unbefriended older adults as patients who: (1) lack decisional capacity to provide informed consent the medical treatment at hand; (2) have not executed an advance directive that addresses hand and do so; (3) family, friends or a legally authorized surrogate assist in decision‐making process. Given vulnerable nature of population, clinicians, health care teams, ethics committees other stakeholders working with must be diligent when formulating decisions...
The Protecting Access to Medicare Act of 2014 includes provisions for hospital readmission penalties skilled nursing facilities ( SNF s) starting in 2018. This presents an opportunity care improvement but also raises several concerns regarding quality care. measure s is similar the current hospitals mandated under Affordable Care Act, with exception adjustments made sex. Because these measures are similar, lessons can be learned from implementation existing penalties. In addition, there...
Families in Critical Care| November 01 2016 The Family Navigator: A Pilot Intervention to Support Intensive Care Unit Surrogates Alexia M. Torke, MD, MS; MS Torke is a scientist, Indiana University (IU) Center for Aging Research, Regenstrief Institute, Inc, an associate professor, IU School of Medicine, fellowship director, Charles Warren Fairbanks Medical Ethics (FCME), Health, and core faculty, Purdue Indianapolis (IUPUI) Research Palliative End Life Communication Training (RESPECT)...
Abstract Eighty-three normal, healthy, African American men and women aged 65 older completed the Consortium to Establish a Registry for Alzheimer's Disease-Neuropsychological Battery (CERAD-NB). Regression analyses indicated powerful education less marked age gender influences on CERAD-NB test performance. Higher was associated with better performance nearly all tests, effects were noted only memory indices (younger subjects had scores), performed slightly than one index from Word List...
OBJECTIVES: To determine the extent to which hospice and nonhospice palliative care (PC) programs provide services patients with dementia describe barriers facilitators providing PC. DESIGN: Telephone Web‐based surveys. SETTING: U.S. PC from National Hospice Palliative Care Organization's program list. PARTICIPANTS: Executive directors of 240 programs, 173 PC, 13 MEASUREMENTS: A telephone survey providers followed by an online RESULTS: Ninety‐four percent hospices 72% had served at least one...
OBJECTIVES: To compare attitudes toward dementia screening of older adults with and without an experience caregiving. DESIGN: A cross‐sectional study. SETTING: Primary care clinics in Indianapolis, Indiana. PARTICIPANTS: Eighty‐one participants caregiving (CG) a random sample 125 (NCG). MEASUREMENTS: Attitudes screening, including acceptance its perceived harms benefits, as determined according to the Perceptions Regarding Investigational Screening for Memory Care questionnaire. RESULTS:...
<h3>Importance</h3> An important aspect of high-quality care is ensuring that treatments are in alignment with patient or surrogate decision-maker goals. Treatment discordant goals has been shown to increase medical costs and prolong end-of-life difficulties. <h3>Objectives</h3> To evaluate discordance between orders provided hospitalized, incapacitated older patients. <h3>Design, Setting, Participants</h3> This prospective cohort study included 363 patient-surrogate dyads. Patients were 65...
There is a growing consensus that disclosure of medical mistakes ethically and legally appropriate, but such disclosures are made difficult by traditions concern about malpractice suits physicians' own emotional reactions. Because the physician may have compelling reasons both to keep information private disclose it patient or family, these situations can be conceptualized as privacy dilemmas. These dilemmas create barriers effectively addressing mistake its consequences. Although number...
Physician Orders for Life-Sustaining Treatment (POLST) forms are used to document patient treatment preferences as medical orders. Prior research demonstrates that use of POLST alters treatments in a way is consistent with the However, there minimal data about quality decisions, including whether they reflect current well-informed patients.Evaluate decisions.Chart abstraction; interviews.Nursing home residents and healthcare agents incapacitated nursing (n = 28).Characteristics conversation...