Publications by authors named "Rachna Goswami"
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.
Patient Priorities Care (PPC) aims to identify and integrate patient goals and preferences into health care decision-making to provide more personalized care for multimorbid older individuals. Home-based primary care (HBPC) is a model of care delivery that supports aging in place. HBPC-integrated pharmacists can identify patient priorities and communicate with the team to ensure care is aligned with what matters most.
View Article and Find Full Text PDFContext: Few studies have examined how clinicians assess decision-making capacity for research in the last weeks of life.
Objectives: We examined the decision-making capacity for participation in a research study and its association with clinician impression and delirium among patients with cancer with days to weeks of life expectancy.
Methods: Patients admitted to our palliative and supportive care unit were approached for a prospective observational study.