Publications by authors named "M S Sulistio"
Article Synopsis
- A study explored the presence of implantable cardioverter defibrillators (ICDs) in older cancer patients and how they impact end-of-life care, revealing that 6% of cancer decedents had an ICD.
- Among patients with ICDs, a higher percentage died in hospitals and experienced aggressive medical interventions, indicating a potential lack of alignment between treatment and patient goals.
- The findings emphasize the need for healthcare discussions about ICDs and patient care preferences to ensure better end-of-life experiences for individuals with cancer.
Patients and clinicians in the cardiac intensive care unit (CICU) are often tasked with making high-stakes decisions about aggressive or life- sustaining therapies. Shared decision-making (SDM), a collaborative process where patients and clinicians work together to make medical decisions that are aligned with a patient's goals and values, is therefore highly relevant in the CICU, especially in the context of palliative or end-of-life decisions. Despite its importance, there are barriers to optimal integration and implementation of SDM.
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- The study evaluated the feasibility and effectiveness of methadone rotation (MR) compared to other opioid rotations (OOR) for managing refractory cancer-induced bone pain (CIBP) in adults.
- Of the 51 eligible participants, 29 completed the study, with both MR and OOR groups showing significant reductions in pain intensity and pain interference after 14 days.
- While MR maintained a similar rate of opioid-related adverse events as before, the OOR group showed a lower incidence, highlighting the need for larger studies to explore the efficacy of both methods further.
Background: Implantable cardioverter defibrillators (ICDs) decrease mortality in high-risk patients but can also cause distressing shocks near death. Patients who lack knowledge about their ICDs are more likely to have an active device at the end of life. Many hospice workers lack sufficient knowledge to educate patients about ICDs.
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