Publications by authors named "Yona Grossman"
Older adults cared for in a geriatric mental health program often have medical co-morbidities causing physical symptoms which may be under-recognized. We explore the utility of palliative care tools in this patient population to identify the burden of symptoms and impact on patient dignity. Participants were recruited from a geriatric mental health inpatient unit and outpatient day hospital.
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- The study explores how patients, caregivers, and society value quality of life (QOL) versus quantity of life at the end of life, highlighting a preference for QOL gains.
- A comprehensive literature search identified 51 studies with nearly 54,000 participants, revealing significant issues with the quality-adjusted life-years (QALY) measure in evaluating end-of-life preferences.
- The findings suggest that healthcare policies should prioritize interventions that enhance quality of life, as QALYs may not accurately reflect patient and caregiver values at this stage.
Objectives: To determine whether education and integration of the Gold Standard Framework Proactive Identification Guidance (GSF-PIG) and the Palliative Performance Scale (PPS) into care rounds, in post-acute care settings, can facilitate communication between the interprofessional care team to enhance understanding of illness trajectories, identifying those who would benefit from a palliative approach to care.
Methods: Interprofessional care teams received training on the GSF-PIG and PPS which were integrated into weekly care rounds and completed a post-evaluation survey. A chart review was conducted for the 40 patients and residents reviewed with the GSF-PIG and PPS.