Publications by authors named "Annie L Gula"
Neurologic illnesses can be challenging to diagnose, involve changes in consciousness, and are often complicated by prognostic uncertainty. These disorders can affect how individuals interact with their environment, and as a result, many ethical concerns may arise related to their medical care. Key ethical issues in neuropalliative care include shared decision-making, evolving autonomy and capacity, best interest and harm principles, beneficence and nonmaleficence, futile and inappropriate care, justice and equity, and ableism.
View Article and Find Full Text PDFArticle Synopsis
- - The study examined the 1-year readmission rates for children who survived acute respiratory distress syndrome (ARDS), finding that about 30% of the 13,505 children included were readmitted within a year after discharge.
- - Key factors influencing readmissions included the presence of complex chronic conditions and the receipt of a tracheostomy, both of which were linked to significantly higher risks of returning to the hospital.
- - The research used data from insurance databases and analyzed diagnoses and outcomes to understand the long-term impacts on pediatric ARDS survivors, with a follow-up extending into 2018.
Background: Patients experiencing homelessness have increased disease burden, increased severity of illness, and increased barriers to accessing care. The provision of high-quality palliative care is therefore essential for this population. State of Homelessness: 18 out of every 10,000 people in the US and 10 out of every 10,000 Rhode Islanders (down from 12 in 2010) experience homelessness.
View Article and Find Full Text PDFProblem: Palliative care (PC) is high-value, holistic care for a child and their family across the entire arc of an illness. All physicians should be competent in symptom management and providing goal-concordant care that acknowledges the quality of life; however, there is insufficient education in pediatric residency to develop competence in basic or ..
View Article and Find Full Text PDFContext: Patients experiencing housing insecurity have numerous barriers affecting their utilization of medical care.
Objectives: Determine if housing insecurity is associated with palliative care (PC) encounters and hospice services in patients with heart failure who receive care in United States Veterans Affairs (VA) medical centers.
Methods: This retrospective study included inpatients in VA hospitals with a primary diagnosis of congestive heart failure from 2010 to 2020.