Evaluation of advance directives video education for patients.

Abstract:

BACKGROUND:Patients and families can make informed decisions at the end-of-life if they have had discussions regarding their wishes, but this is not regularly done due to poor understanding of advance directives (AD). OBJECTIVE:The objective was to evaluate the effectiveness of an AD video to educate patients in both the inpatient and outpatient settings. METHODS:A prospective, nonrandomized, pre/post-survey design study of 45 patients was conducted. Patients in clinics (n=37) and hospital (n=8) were asked to complete surveys measuring baseline understanding, completion, and discussions of AD prior to viewing the video. Patients viewed the video and completed similar surveys for feedback on the effectiveness of the video education. RESULTS:Patients felt the video was informative and helpful and stated more of an urgency to complete AD with increased perceived understanding of the forms. Prior to the educational video, 66.7% of patients stated they had discussed AD with their loved ones, while only 29% stated they had discussed these with their provider. Only 44.4% of participants had completed AD forms, and the majority (70.3%) wanted more information. Participants stated that viewing the video increased their desire to complete AD (78.6%), felt they had enough information to have these discussions and complete the forms (97.6%), and rated the video very highly (mean rank of 8.8 of 10). CONCLUSIONS:AD video education is helpful to patients, improving perceived understanding of AD and increasing patients' intent to discuss and complete AD with family and providers.

journal_name

J Palliat Med

authors

Toraya C

doi

10.1089/jpm.2013.0585

subject

Has Abstract

pub_date

2014-08-01 00:00:00

pages

942-6

issue

8

eissn

1096-6218

issn

1557-7740

journal_volume

17

pub_type

杂志文章
  • Better Together: The Making and Maturation of the Palliative Care Research Cooperative Group.

    abstract:OBJECTIVE:To describe the growth and outcomes of the Palliative Care Research Cooperative Group (PCRC). BACKGROUND:Despite advances, significant gaps remain in the evidence base to inform care for people with serious illness. To generate this needed evidence and bolster research capacity, the Palliative Care Research ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2017.0138

    authors: Ritchie CL,Pollak KI,Kehl KA,Miller JL,Kutner JS

    更新日期:2017-06-01 00:00:00

  • Evaluation of spiritual needs of patients with advanced cancer in a palliative care unit.

    abstract:INTRODUCTION:Spiritual needs play an important role in palliative care as both a clinical dimension and a therapeutic strategy. However, recent studies have shown that the management of this dimension still remains a challenge at the clinical level of palliative care. GOALS:Our goal was to evaluate the spiritual needs...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2013.0569

    authors: Vilalta A,Valls J,Porta J,Viñas J

    更新日期:2014-05-01 00:00:00

  • Suffering in Advanced Cancer: A Randomized Control Trial of a Narrative Intervention.

    abstract:BACKGROUND:Advanced cancer can erode patients' wellbeing. Narrative interventions have improved patients' wellbeing, but might not be feasible for widespread implementation. OBJECTIVES:(1) Test the effects of miLivingStory, a telephone-based life review and illness narrative intervention with online resources and soci...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1089/jpm.2017.0007

    authors: Wise M,Marchand LR,Roberts LJ,Chih MY

    更新日期:2018-02-01 00:00:00

  • Continuity, coordination, and transitions of care for patients with serious and advanced illness: a systematic review of interventions.

    abstract:OBJECTIVES:Continuity, coordination, and transitions of care are key to high-quality medical care for patients with serious and advanced illness. We conducted a systematic review to evaluate the impact of interventions targeting these areas in this population. METHODS:We searched PubMed, CINAHL, PsycINFO, Cochrane, an...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1089/jpm.2012.0317

    authors: Dy SM,Apostol C,Martinez KA,Aslakson RA

    更新日期:2013-04-01 00:00:00

  • Use of intravenous acetaminophen (paracetamol) in a pediatric patient at the end of life: case report.

    abstract:BACKGROUND:For the better part of 100 years, acetaminophen (or paracetamol as it is known outside of the United States) has been a common first-line analgesic in pediatrics and is typically well tolerated with minimal side effects. Its use as an anti-pyretic is also well-documented and thus it is used broadly for sympt...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2012.0117

    authors: Marks AD,Keefer P,Saul D

    更新日期:2013-12-01 00:00:00

  • Jewish medical ethics and end-of-life care.

    abstract::While Judaism espouses the infinite value of human life, Judaism recognizes that all life is finite and, as such, its teachings are compatible with the principles of palliative medicine and end-of-life care as they are currently practiced. Jewish medical ethics as derived from Jewish law, has definitions for the four ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1089/jpm.2004.7.558

    authors: Kinzbrunner BM

    更新日期:2004-08-01 00:00:00

  • Humidified high-flow nasal oxygen utilization in patients with cancer at Memorial Sloan-Kettering Cancer Center.

    abstract:BACKGROUND:Respiratory signs and symptoms are commonly encountered by physicians who care for cancer patients. Supplemental oxygen (SOx) has long been used for treatment of hypoxic respiratory insufficiency, but data reveal mixed efficacy results. The use and outcome patterns of technologically advanced oxygen delivery...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2011.0005

    authors: Epstein AS,Hartridge-Lambert SK,Ramaker JS,Voigt LP,Portlock CS

    更新日期:2011-07-01 00:00:00

  • Interprofessional communication skills training for serious illness: evaluation of a small-group, simulated patient intervention.

    abstract:BACKGROUND:Communication with patients and families is an essential component of high-quality care in serious illness. Small-group skills training can result in new communication behaviors, but past studies have used facilitators with extensive experience, raising concerns this is not scalable. OBJECTIVE:The objective...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2013.0318

    authors: Bays AM,Engelberg RA,Back AL,Ford DW,Downey L,Shannon SE,Doorenbos AZ,Edlund B,Christianson P,Arnold RW,O'Connor K,Kross EK,Reinke LF,Cecere Feemster L,Fryer-Edwards K,Alexander SC,Tulsky JA,Curtis JR

    更新日期:2014-02-01 00:00:00

  • End-of-life issues for American Indians/Alaska Natives: insights from one Indian Health Service area.

    abstract:BACKGROUND:In the United States, the American Indian and Alaska Native (AI/AN) population is aging and the leading causes of death for those 55 and older are chronic diseases such as cancer, heart disease, and the complications of diabetes. Since 1955, the federally directed Indian Health Service, along with Tribal gov...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2004.7.830

    authors: Kitzes J,Berger L

    更新日期:2004-12-01 00:00:00

  • Detecting attitudinal changes about death and dying as a result of end-of-life care curricula for medical undergraduates.

    abstract:BACKGROUND:There is heightened emphasis on teaching end-of-life (EOL) care in the medical school curriculum, but a relative paucity of tools focused on assessing key attitudinal changes due to curricula. OBJECTIVE:We sought to evaluate the responsiveness of two validated measures of relevant attitudes to changes cause...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2005.8.975

    authors: Schwartz CE,Clive DM,Mazor KM,Ma Y,Reed G,Clay M

    更新日期:2005-10-01 00:00:00

  • Perceptions of lethal fetal abnormality among perinatal professionals and the challenges of neonatal palliative care.

    abstract:BACKGROUND:After prenatal diagnosis of lethal fetal abnormality (LFA), some couples choose to continue the pregnancy rather than opt for termination of the pregnancy. This may result in the requirement for neonatal palliative care, which in France is prescribed by the Leonetti Law. These rare situations raise various q...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1089/jpm.2014.0023

    authors: Tosello B,Dany L,Gire C,Bétrémieux P,Vriet-Ndour ME,Le Coz P,D'Ercole C,Siméoni U,Einaudi MA

    更新日期:2014-08-01 00:00:00

  • Symptom Assessment Solutions for In-Home Supportive Services and Diverse Older Adults: A Roadmap for Change.

    abstract:BACKGROUND:Millions of older adults require Medicaid-funded home care, referred to as In-Home Supportive Services (IHSS). Many of these individuals experience serious illness, disability, and common symptoms such as pain and shortness of breath. OBJECTIVE:To explore whether and how to integrate symptom assessment into...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2017.0704

    authors: Odierna DH,Katen MT,Feuz MA,McMahan RD,Ritchie CS,McSpadden S,Burns M,Volow AM,Sudore RL

    更新日期:2018-10-01 00:00:00

  • A Self-Check Program Targeting Quality Improvement in a Hospital-Based Palliative Care Consultation Team, Japanese Society for Palliative Medicine: Issues Regarding Team Activities Identified through the Plan-Do-Check-Act Cycle.

    abstract:: Background: The number of hospital-based palliative care consultation teams (PCCTs) has increased in Japan, and quality improvement (QI) of PCCTs is an issue. The Japanese Society for Palliative Medicine is building a framework for continuous QI of PCCT activities. ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2019.0236

    authors: Nakazawa Y,Sakashita A,Kaizu M,Abo H,Ise Y,Shinada Y,Sugano K,Yamashiro A,Akizuki N,Kato M

    更新日期:2020-03-01 00:00:00

  • Strategies for finding and negotiating a first position in hospice and palliative medicine.

    abstract::Securing a first job following training is an exciting and daunting task. Little formal guidance is available and trainees often find themselves confused, uncertain, and overwhelmed. This article is designed to provide a basic framework for fellows and new graduates to search for positions, apply, interview, and negot...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2010.0002

    authors: Weckmann MT,Block S

    更新日期:2010-09-01 00:00:00

  • Characteristics and correlates of dyspnea in patients with advanced cancer.

    abstract:BACKGROUND:Dyspnea is a very distressing symptom present in the vast majority of patients with advanced cancer. There are limited data on the characteristics and correlates of dyspnea in this population. The purpose of this study was to characterize dyspnea, explore the differences between breakthrough and continuous p...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2008.0158

    authors: Reddy SK,Parsons HA,Elsayem A,Palmer JL,Bruera E

    更新日期:2009-01-01 00:00:00

  • Concurrent Hospice Care and Cancer-Directed Treatment for Advanced Lung Cancer and Receipt of Aggressive Care at the End of Life in the Veteran's Health Administration.

    abstract:: Background: Aggressive care at the end of life (EOL) is a persistent issue for patients with stage IV nonsmall cell lung cancer (NSCLC). We evaluated the use of concurrent care (CC) with hospice care and cancer-directed treatment simultaneously within the Veteran's Health ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2019.0485

    authors: Presley CJ,Han L,O'Leary JR,Zhu W,Corneau E,Chao H,Shamas T,Rose M,Lorenz K,Levy CR,Mor V,Gross CP

    更新日期:2020-08-01 00:00:00

  • Charity for the dying: who receives unreimbursed hospice care?

    abstract:OBJECTIVES:Many deaths occur among persons without insurance coverage for hospice care. We examined the patient and agency characteristics associated with receiving unreimbursed hospice care in a national survey. RESULTS:We examined the receipt of unreimbursed care using the 1998 National Home and Hospice Care Survey ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/109662103768253696

    authors: Lorenz KA,Rosenfeld KE,Asch SM,Ettner SL

    更新日期:2003-08-01 00:00:00

  • Evidence-based palliative care in the intensive care unit: a systematic review of interventions.

    abstract:BACKGROUND:Over the last 20 years, multiple interventions to better integrate palliative care and intensive care unit (ICU) care have been evaluated. This systematic review summarizes these studies and their outcomes. METHODS:We searched MEDLINE, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1089/jpm.2013.0409

    authors: Aslakson R,Cheng J,Vollenweider D,Galusca D,Smith TJ,Pronovost PJ

    更新日期:2014-02-01 00:00:00

  • A Descriptive Analysis of an Ambulatory Kidney Palliative Care Program.

    abstract:: Background: Many patients with serious kidney disease have an elevated symptom burden, high mortality, and poor quality of life. Palliative care has the potential to address these problems, yet nephrology patients frequently lack access to this specialty. ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2018.0647

    authors: Scherer JS,Harwood K,Frydman JL,Moriyama D,Brody AA,Modersitzki F,Blaum CS,Chodosh J

    更新日期:2020-02-01 00:00:00

  • Antimicrobial use for symptom management in patients receiving hospice and palliative care: a systematic review.

    abstract:BACKGROUND:Patients receiving hospice or palliative care often receive antimicrobial therapy; however the effectiveness of antimicrobial therapy for symptom management in these patients is unknown. OBJECTIVE:The study's objective was to systematically review and summarize existing data on the prevalence and effectiven...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1089/jpm.2013.0276

    authors: Rosenberg JH,Albrecht JS,Fromme EK,Noble BN,McGregor JC,Comer AC,Furuno JP

    更新日期:2013-12-01 00:00:00

  • A faculty development course for end-of-life care.

    abstract::A faculty development course was offered at the Medical College of Wisconsin to bolster existing medical student and housestaff training opportunities in palliative medicine. An 8- week, 12 contact-hour course was designed to provide up to 15 faculty members training in the practice and teaching of end-of-life care. F...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.1998.1.35

    authors: Weissman DE

    更新日期:1998-04-01 00:00:00

  • Exploring Factors Contributing to Medication Errors with Opioids in Australian Specialist Palliative Care Inpatient Services: A Multi-Incident Analysis.

    abstract:BACKGROUND:Opioid errors have the potential to cause significant patient harm. These high-risk medications are used in high volumes in palliative care services to manage pain and other symptoms. Palliative patients are at greater risk of harm from opioid errors, as they are generally older and taking numerous medicatio...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2017.0578

    authors: Heneka N,Shaw T,Rowett D,Lapkin S,Phillips JL

    更新日期:2018-06-01 00:00:00

  • The Louisiana State Penitentiary: Angola prison hospice.

    abstract::Louisiana State Penitentiary (Angola) has a large population of aging men serving long sentences with little hope of reprieve. Eighty-five percent of the 5108 inmates currently incarcerated at Angola are expected to die there. The prison, in partnership with University Hospital Community Hospice in New Orleans, has cr...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/109662102760269797

    authors: Evans C,Herzog R,Tillman T

    更新日期:2002-08-01 00:00:00

  • Translating and testing the ENABLE: CHF-PC concurrent palliative care model for older adults with heart failure and their family caregivers.

    abstract:BACKGROUND:Heart failure (HF) and palliative care (PC) organizations recommend early PC to improve the quality of life of patients living with HF. OBJECTIVE:We conducted a two-phase formative evaluation study to translate a cancer-focused concurrent PC intervention into one that would be appropriate for rural-dwelling...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2013.0680

    authors: Dionne-Odom JN,Kono A,Frost J,Jackson L,Ellis D,Ahmed A,Azuero A,Bakitas M

    更新日期:2014-09-01 00:00:00

  • Impact of a hospice emergency kit for veterans and their caregivers: a prospective cohort study.

    abstract:BACKGROUND:Although hospice emergency kits (HEKs) are provided by many home hospice agencies, little is known about their use, side effects, and perceived impact. OBJECTIVE:To evaluate HEK medication utilization, side effects, and impact as perceived by home hospice patients and their caregivers. METHODS:We conducted...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2013.0395

    authors: Bailey FA,Williams BR,Goode PS,Woodby LL,Granstaff US,Echt KV,Redden DT,Kvale E,Burgio KL

    更新日期:2014-08-01 00:00:00

  • Incidence of hydromorphone-induced neuroexcitation in hospice patients.

    abstract:BACKGROUND AND OBJECTIVE:To date, there are no known published studies that prospectively followed hospice patients receiving hydromorphone to evaluate the development of hydromorphone-induced neuroexcitation (HINE). The first objective of this study was to determine the incidence of HINE. The second objective was to i...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1089/jpm.2012.0467

    authors: Kullgren J,Le V,Wheeler W

    更新日期:2013-10-01 00:00:00

  • Transfusion in palliative cancer patients: a review of the literature.

    abstract:BACKGROUND:Transfusion is not an exceptional circumstance in palliative cancer patients (PCPs). This makes it necessary to confront not only medical aspects but also those of infrastructure and ethical issues. On some occasions, literature needs to be consulted to work out the best approach in a patient's particular ca...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1089/jpm.2013.0387

    authors: Uceda Torres ME,Rodríguez Rodríguez JN,Sánchez Ramos JL,Alvarado Gómez F

    更新日期:2014-01-01 00:00:00

  • Epidemiology of renal palliative care.

    abstract::The need for palliative care for patients with end-stage renal disease (ESRD) is increasingly recognized. Patients starting renal replacement therapy are now elderly, with a median age of 65 years, and with multiple comorbid conditions. Quality of life is often poor and with advance care planning, patients can be enab...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2007.0033

    authors: Brown EA

    更新日期:2007-12-01 00:00:00

  • Repeat dose opioids may be effective for breathlessness in chronic heart failure if given for long enough.

    abstract:BACKGROUND:The longer-term effects of opioids for breathlessness are not known in people with chronic heart failure (CHF). OBJECTIVE:Our aim was to assess the longer-term effect of oral opioids on breathlessness due to CHF. METHODS:We conducted a 3-month open-label extension to a crossover randomized controlled trial...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1089/jpm.2012.0270

    authors: Oxberry SG,Bland JM,Clark AL,Cleland JG,Johnson MJ

    更新日期:2013-03-01 00:00:00

  • Evaluation of an educational intervention to encourage advance directive discussions between medicine residents and patients.

    abstract:INTRODUCTION:Most medical schools are remiss in preparing physicians in end-of-life communication skills. As a result, many residents are uncomfortable with approaching the patient, have not developed the skills required to discuss the patients' wishes, and avoid end-of-life conversations. OBJECTIVE:To evaluate an edu...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2006.9.964

    authors: Furman CD,Head B,Lazor B,Casper B,Ritchie CS

    更新日期:2006-08-01 00:00:00