Burn Surgeon and Palliative Care Physician Attitudes Regarding Goals of Care Delineation for Burned Geriatric Patients

Journal of Burn Care & Research : Official Publication of the American Burn Association
Holly B CunninghamHerb A Phelan

Abstract

Palliative care specialists (PCS) and burn surgeons (BS) were surveyed regarding: 1) importance of goals of care (GoC) conversations for burned seniors; 2) confidence in their own specialty's ability to conduct these conversations; and 3) confidence in the ability of the other specialty to do so. A 13-item survey was developed by the steering committee of a multicenter consortium dedicated to palliative care in the injured geriatric patient and beta-tested by BS and PCS unaffiliated with the consortium. The finalized instrument was electronically circulated to active physician members of the American Burn Association and American Academy for Hospice and Palliative Medicine. Forty-five BS (7.3%) and 244 PCS (5.7%) responded. Palliative physicians rated being more familiar with GoC, were more comfortable having a discussion with laypeople, were more likely to have reported high-quality training in performing conversations, believed more palliative specialists were needed in intensive care units, and had more interest in conducting conversations relative to BS. Both groups believed themselves to perform GoC discussions better than the other specialty perceived them to do so. BS favored leading team discussions, whereas palliative ...Continue Reading

References

Dec 1, 1991·Theoretical Medicine·J Lynn, D DeGrazia
Apr 15, 1993·The New England Journal of Medicine·J D Lubitz, G F Riley
Dec 6, 2000·JAMA : the Journal of the American Medical Association·D C AngusUNKNOWN Committee on Manpower for Pulmonary and Critical Care Societies (COMPACCS)
Aug 30, 2001·Burns : Journal of the International Society for Burn Injuries·L A WibbenmeyerG P Kealey
Mar 23, 2004·Health Services Research·Amber E BarnatoAlan M Garber
Aug 12, 2004·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·L M RamondettaC Levenback
Mar 8, 2007·Annals of Surgical Oncology·Daniel D KlaristenfeldThomas J Miner
Jul 27, 2010·Journal of Surgical Education·Zara CooperSelwyn O Rogers
Nov 9, 2010·American Journal of Surgery·Pragatheeshwar ThirunavukarasuDaniel E Hall
May 23, 2013·Gynecologic Oncology·J L LesnockJ C Chang
Sep 11, 2014·JAMA Surgery·Katherine F ErnstJason Michael Johanning
Mar 10, 2015·Annals of Surgery·Jacqueline M KruserMargaret L Schwarze
Nov 26, 2015·JAMA Surgery·Elizabeth J LilleyZara Cooper
Sep 15, 2016·Journal of Palliative Medicine·Natalia S PartainHerb A Phelan
Aug 8, 2017·Journal of Oncology Practice·Alexandre Buckley de MeritensAna I Tergas
Dec 10, 2017·Journal of Pain and Symptom Management·Pasithorn A SuwanabolArden M Morris

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Citations

Nov 28, 2019·Journal of Pain and Symptom Management·Allyson C CookUNKNOWN American Academy of Hospice and Palliative Medicine Research Committee Writing Group
Jul 25, 2021·Journal of Burn Care & Research : Official Publication of the American Burn Association·Heather CarmichaelAnne Lambert Wagner

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