Background: Older adults with chronic or acute cognitive impairment, such as dementia or delirium, who are hospitalized face unique barriers to person-centered care and a higher risk for negative outcomes stemming from hospitalizations. There is a need for co-designed interventions adapted for these patients to the hospital setting to improve care and outcomes. Patient life storytelling interventions have demonstrated promise in enhancing person-centered care by improving patient-care team relationships and providing information to enable care tailored to individual needs and values.
View Article and Find Full Text PDFWe created a concise nurse-driven delirium reduction workflow with the aim of reducing delirium rates and length of stay for hospitalized adults. Our nurse-driven workflow included five evidence-based daytime "sunrise" interventions (patient room lights on, blinds up, mobilization/out-of-bed, water within patient's reach and patient awake) and five nighttime "turndown" interventions (patient room lights off, blinds down, television off, noise reduction and pre-set bedtime). Interventions were also chosen because fidelity could be quickly monitored twice daily without patient interruption from outside the room.
View Article and Find Full Text PDFPeople with heart failure (HF) have high morbidity and mortality and may benefit from palliative care (PC). To pilot a randomized, clinical trial of a PC intervention for people with HF. Participants were randomized to usual care (UC) or intervention (UC plus specialty PC) between January 2012 and December 2013.
View Article and Find Full Text PDFObjective: Describe the etiology of pain among HF patients and examine the relationship between pain and QoL.
Background: Little is known about the etiology of pain in patients with heart failure (HF) and the impact it has on quality of life (QoL).
Methods: A prospective cohort study of outpatients with NYHA Class II or III HF were surveyed at baseline and at three-month follow-up.
Hospital-based palliative care is becoming increasingly prevalent. There is growing evidence that it is having a positive impact on patients and their loved ones. In 2008, national data indicated that 58.
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