A5012923857- Palliative Care and End-of-Life Issues
- Healthcare Systems and Public Health
- Childhood Cancer Survivors' Quality of Life
- Patient Dignity and Privacy
- Ethics in medical practice
- Geriatric Care and Nursing Homes
- Family and Patient Care in Intensive Care Units
- Dementia and Cognitive Impairment Research
- Ethics and Legal Issues in Pediatric Healthcare
- Innovations in Medical Education
- Frailty in Older Adults
- Healthcare Decision-Making and Restraints
- Grief, Bereavement, and Mental Health
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare cost, quality, practices
- Alzheimer's disease research and treatments
- Pain Management and Opioid Use
- Respiratory Support and Mechanisms
- Elder Abuse and Neglect
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Aging, Elder Care, and Social Issues
- Intensive Care Unit Cognitive Disorders
- Patient-Provider Communication in Healthcare
- Child and Adolescent Health
- Dialysis and Renal Disease Management
San Francisco VA Medical Center
2013-2024
University of California, San Francisco
2015-2024
San Francisco VA Health Care System
2017-2024
John Wiley & Sons (United States)
2019-2023
British Geriatrics Society
2020
Park University
2018-2020
Moss Landing Marine Laboratories
2019-2020
Hudson Institute
2019-2020
United States Department of Veterans Affairs
2011
Icahn School of Medicine at Mount Sinai
2005
Coronavirus disease 2019 (COVID-19) continues to impact older adults disproportionately with respect serious consequences ranging from severe illness and hospitalization increased mortality risk. Concurrently, concerns about potential shortages of healthcare professionals health supplies address these issues have focused attention on how resources are ultimately allocated used. Some strategies, for example, misguidedly use age as an arbitrary criterion that disfavors in resource allocation...
"Presenteeism" occurs when an employee goes to work despite a medical illness that will prevent him or her from fully functioning at work. This problem has been well studied in the business and social science literature, carries increased importance health care setting due risk of infectious disease transmission vulnerable patient populations. In this manuscript, we discuss outbreak viral gastroenteritis long-term facility role presenteeism played extension outbreak. We use existing...
Background: The epidemiology of pain during the last years life has not been well described. Objective: To describe prevalence and correlates 2 life. Design: Observational study. Data from participants who died while enrolled in Health Retirement Study were analyzed. survey interview closest to death was used. Each participant or proxy interviewed once 24 months classified into 1 cohorts on basis number between death. relationship time before modeled adjusted for age, sex, race ethnicity,...
TO THE EDITOR: Preventive interventions such as cancer screening exposes patients to immediate risks with delayed benefits, suggesting that outweigh the benefits in limited life expectancy. Guidelines now recommend considering likelihood of long-term survival when evaluating whether preventive long lagtimes-to-benefit (such CRC and intensive glycemic control) are more likely help or harm an individual patient.1, 2 However, most mortality indices have focused on short-term risk (≤5...
Coronavirus disease 2019 (COVID-19) continues to impact older adults disproportionately, from severe illness and hospitalization increased mortality risk. Concurrently, concerns about potential shortages of healthcare professionals health supplies address these needs have focused attention on how resources are ultimately allocated used. Some strategies misguidedly use age as an arbitrary criterion, inappropriately disfavoring adults. This statement represents the official policy position...
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...
After a diagnosis of Alzheimer's disease and related disorders, people living with dementia (PWD) caregivers wonder what trajectory to expect how plan for functional cognitive decline. This qualitative study aimed identify patient caregiver experiences receiving anticipatory guidance about from specialty clinic.
Background and Rationale: ICU clinicians regularly care for patients who lack capacity, an applicable advance directive, available surrogate decision-maker. Although there is no consensus on terminology, we refer to these as "unrepresented." There considerable controversy about how make treatment decisions patients, significant variability in both law clinical practice.Purpose Objectives: This multisociety statement provides hospital administrators with recommendations decision-making behalf...
Abstract Background Only 62.6% of fellowship‐trained and American Board Internal Medicine (ABIM)‐certified geriatricians maintain their specialty certification in geriatric medicine, the lowest rate among all internal medicine subspecialties only subspecialty which physicians at higher rates than certification. This study aims to better understand underlying issues related low maintaining order inform workforce development strategies. Methods Eighteen‐item online survey internists who...
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Objectives: Unbefriended older adults are those who lack the capacity to make medical decisions and do not have a completed advance directive that can guide treatment or surrogate decision maker. Adult orphans retain decision-making but at risk of becoming unbefriended due health care In follow-up 2016 American Geriatrics Society (AGS) position statement on adults, we examined clinicians' experiences in caring for adult orphans.Methods: Clinicians recruited through AGS (N = 122) an online...