Publications by authors named "P Moorhouse"
Health care professionals can enhance conversations about serious illness and medical decision-making by adopting a transparent, standardized approach. This article critiques established communication strategies, which often emphasize patient values and goals without providing the necessary medical information to align these goals with a shared understanding of prognosis. We propose an alternate strategy that (1) provides detailed explanations of medical conditions at the beginning of the conversation, (2) includes support persons in discussions, (3) considers capacity, and (4) offers tailored advice by clinicians.
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- The study compares frailty assessments of orthopedic surgery residents and expert geriatricians using the Clinical Frailty Scale (CFS) in hip fracture patients, analyzing data from 2015 to 2019.
- Results showed that orthopedic residents often rated patients as less frail than geriatricians, but overall, their assessments were found to have good agreement.
- The findings indicate that while orthopedic residents can reliably assess frailty, they may underestimate its severity, suggesting a need for better integration of comprehensive care models for frail patients.
Objectives: This study aims to develop and validate a Bayesian risk prediction model that combines research cohort data with elicited expert knowledge to predict dementia progression in people with mild cognitive impairment (MCI).
Study Design And Setting: This is a prognostic risk prediction modeling study based on cohort data (Alzheimer's disease neuroimaging initiative [ADNI]; n = 365) of research participants with MCI and elicited expert data. Bayesian Cox models were used to combine expert knowledge and ADNI data to predict dementia progression in people with MCI.
Article Synopsis
- - This study evaluates what experts believe are the key risk factors that can lead to dementia in individuals with mild cognitive impairment (MCI).
- - Ten experts, including neurologists, geriatricians, and psychiatrists, participated in structured meetings and surveys to identify the top predictors of dementia progression, such as age, brain imaging results, and cognitive assessment scores.
- - The findings suggest that many important predictors of dementia are not regularly collected in current healthcare practices, which may contribute to the limited use of published dementia risk assessment tools in clinical settings.
Objectives: Despite three decades of research, gaps remain in meeting the needs of people with dementia and their family/friend carers as they navigate the often-tumultuous process of driving cessation. This paper describes the process of using a knowledge-to-action (KTA) approach to develop an educational web-based resource (i.e.
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