Concordance of Advance Care Plans With Inpatient Directives in the Electronic Medical Record for Older Patients Admitted From the Emergency Department

Journal of Pain and Symptom Management
Corita R GrudzenAAHPM Research Committee Writing Group

Abstract

Measuring What Matters identified quality indicators to examine the percentage of patients with documentation of a surrogate decision maker and preferences for life-sustaining treatments. To determine the rate of advance care planning in older adults presenting to the emergency department (ED) and translation into medical directives in the electronic medical record (EMR). A convenience sample of adults 65 years or older was recruited from a large urban ED beginning in January 2012. We administered a baseline interview and survey in English or Spanish, including questions about whether patients had a documented health care proxy or living will. For patients admitted to the hospital who had a health care proxy or living will, chart abstraction was performed to determine whether their advance care preferences were documented in the EMR. From February 2012 to May 2013, 53.8% (367 of 682) of older adults who completed the survey in the ED reported having a health care proxy, and 40.2% (274 of 682) had a living will. Of those admitted to the hospital, only 4% (4 of 94) of patients who said they had a living will had medical directives documented in the EMR. Similarly, only 4% (5 of 115) of patients who had a health care proxy had the...Continue Reading

References

Jan 1, 1991·Law, Medicine & Health Care : a Publication of the American Society of Law & Medicine·E McCloskey
Mar 24, 2000·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·R C WuerzN Gilboy
Dec 14, 2004·Journal of Palliative Medicine·UNKNOWN American Academy of Hospice and Palliative MedicineUNKNOWN National Hospice and Palliative Care Organization
Oct 9, 2008·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Ellen P McCarthyJoanne M Murabito
Jul 14, 2010·Journal of Palliative Medicine·Victoria Y YungDavid A Ganz
Jun 13, 2012·Journal of Palliative Medicine·Laura C HansonStephen A Bernard
Apr 3, 2013·JAMA Internal Medicine·Daren K HeylandUNKNOWN Canadian Researchers at the End of Life Network (CARENET)
Jun 13, 2014·Journal of Palliative Medicine·Anna P SchenckLaura C Hanson

❮ Previous
Next ❯

Citations

Sep 14, 2016·Journal of Palliative Medicine·Timothy F Platts-MillsAngelo E Volandes
Sep 10, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Naomi R GeorgeTimothy F Platts-Mills
Aug 27, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Teresita M HoganTimothy F Platts-Mills
Jan 31, 2019·The Australian Journal of Rural Health·Kirsten AuretDot Price
Apr 19, 2019·Journal of the American Heart Association·Paul D JohnsonClaire J Creutzfeldt
Aug 1, 2018·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Masako MayaharaSean OʼMahony
Jun 9, 2019·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Laura Kaplan-WeismanCasey Crump
Jul 10, 2019·Journal of Palliative Care·Meaghann S WeaverMaureen E Lyon
Jul 16, 2019·Journal of Aging and Health·Laura Kaplan-WeismanCasey Crump
Oct 2, 2020·Journal of the American College of Emergency Physicians Open·Eileen F Baker, Catherine A Marco
May 22, 2017·Journal of Neuro-oncology·Kamini E KuchinadThomas J Smith
Sep 1, 2018·The American Journal of Hospice & Palliative Care·Christopher LemonMohamed Khadra
Feb 26, 2019·The American Journal of Hospice & Palliative Care·Sarah R JordanHillary D Lum
Jul 6, 2021·Resuscitation Plus·Alexandra ErathLiza Weavind
Jul 20, 2021·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Martin F Casey, Daniel W Markwalter
Jun 15, 2018·Journal of Pain and Symptom Management·Alison E TurnbullJ Randall Curtis

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
I LloveraA Sama
The Western Journal of Emergency Medicine
Stephanie Stokes-BuzzelliAndrew Weise
The Canadian Nurse
P J Sawchuk, J Ross-Kerr
Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Manish N ShahBruce Friedman
© 2022 Meta ULC. All rights reserved