A5019915036- Palliative Care and End-of-Life Issues
- Family and Patient Care in Intensive Care Units
- Acute Ischemic Stroke Management
- Traumatic Brain Injury Research
- Intracerebral and Subarachnoid Hemorrhage Research
- Traumatic Brain Injury and Neurovascular Disturbances
- Cardiac Arrest and Resuscitation
- Stroke Rehabilitation and Recovery
- Healthcare Decision-Making and Restraints
- Childhood Cancer Survivors' Quality of Life
- Patient Dignity and Privacy
- Intensive Care Unit Cognitive Disorders
- Cerebrospinal fluid and hydrocephalus
- Mechanical Circulatory Support Devices
- Psychosomatic Disorders and Their Treatments
- Grief, Bereavement, and Mental Health
- Patient-Provider Communication in Healthcare
- Neurosurgical Procedures and Complications
- Long-Term Effects of COVID-19
- Geriatric Care and Nursing Homes
- COVID-19 and Mental Health
- Ethics in medical practice
- Dementia and Cognitive Impairment Research
- Trauma and Emergency Care Studies
- Cardiac Structural Anomalies and Repair
University of Washington
2016-2025
Harborview Medical Center
2016-2025
Cambia Health Solutions (United States)
2020-2025
Seattle University
2008-2025
Presbyterian Hospital
2024
New York Hospital Queens
2024
Columbia University
2024
NewYork–Presbyterian Hospital
2024
NYU Langone Health
2024
Stanford University
2024
Objectives: Patients admitted to the neurological or neurosurgical ICU are likely have palliative care needs. The goals of this project encourage team identify needs for patients and their families potential ways meet those Design: Quality improvement using a parallel-group prospective cohort design. Setting: Single neuro-ICU at large, academic medical center. Patients: All from September 1, 2013, November 30, 2013. Interventions: We developed screening tool consisting four questions: 1)...
Abstract Background Assessing the impact of coronavirus disease 2019 (COVID-19) on intensive care unit (ICU) providers’ perceptions resource availability and evaluating factors associated with emotional distress/burnout can inform interventions to promote provider well-being. Methods Between 23 April 7 May 2020, we electronically administered a survey physicians, nurses, respiratory therapists (RTs), advanced practice providers (APPs) caring for COVID-19 patients in United States. We...
Illness trajectories depicting how function declines to death with certain diseases, such as cancer, can help palliative care. <b>Creutzfeldt and colleagues</b> propose a fourth trajectory is needed for patients severe acute brain injury improve decision making standards of care
Substantial variability exists in the use of life-prolonging treatments for patients with stroke, especially near end life. This study explores patterns palliative care utilization and death hospitalized stroke across United States.Using 2010 to 2012 nationwide inpatient sample databases, we included all discharged identified by International Classification Diseases-Ninth Revision codes. Strokes were subclassified as ischemic, intracerebral, subarachnoid hemorrhage. We compared demographics,...
<h3>Importance</h3> Shared decision-making requires key stakeholders to align in perceptions of prognosis and likely treatment outcomes. <h3>Objective</h3> For patients with severe acute brain injury, the objective this study was better understand discordance between physicians families by determining prevalence associated factors. <h3>Design, Setting, Participants</h3> This mixed-methods cross-sectional analyzed a cohort collected from January 4, 2018, July 22, 2020. conducted medical...
Objectives: In the early phase of severe acute brain injury (SABI), surrogate decision-makers must make treatment decisions in face prognostic uncertainty. Evidence-based strategies to communicate uncertainty and support decision-making are lacking. Our objective was better understand experiences needs during period active SABI, inform interventions SABI patients families improve clinician-surrogate communication. Design: We interviewed patients’ hospitalization for as part a larger ( n =...
Statistical models predicting outcome after intraparenchymal hemorrhage include patients irrespective of do-not-attempt-resuscitation orders. We built a model to explore how the inclusion with orders affects prognostic models.Retrospective, observational cohort study from May 2001 until September 2003.University-affiliated tertiary referral hospital in Seattle, WA.Four hundred twenty-four consecutive spontaneous hemorrhage.We retrospectively abstracted information medical records admitted...