Global ETD Search
Search theses and dissertations gathered from participating repositories worldwide. Every result links back to the library that holds it. No account is needed.
Results
Showing 1 to 19 of 19 for “"goals of care"”.
-
Aligning Patients' Defibrillator Status with their Goals of Care: A Multidisciplinary Quality Improvement Project at Parkland Hospital
… in the US each year. Given the possibility of patient goals evolving over their life course, current national guidelines direct providers to explore goals-of-care and ICD deactivation with patients. However, many patients never have these conversations with their providers, especially in …
-
Aligning Patients' Defibrillator Status with their Goals of Care: A Multidisciplinary Quality Improvement Project at Parkland Hospital
… the United States annually. Because a patients' goals may evolve over time, current guidelines direct providers to discuss goals of care and ICD deactivation with patients. However, many patients do not have these conversations, and many have poor understanding regarding their ICD and their …
-
Advanced Cancer Patients' Perspectives on a Video Decision Support Aid used to Enhance Goals of Care Discussions
The purpose of this study was to explore perspectives of advanced cancer patients on the use of a video decision support aid developed to enhance Goals of Care (GOC) discussions and to examine how the video influenced participants' perceptions and knowledge about GOC. A qualitative approach was …
-
Ethical Considerations in Goals of Care for Patients with Polysubstance Use and Medical Complications in the Era of Xylazine
… complex polysubstance crisis with the emergence of xylazine alongside fentanyl, reshaping substance use dynamics. Xylazine's rising prevalence introduces unique health risks due to its sedative properties, compounded when combined with fentanyl, leading to heightened potency and toxicity. This …
-
Patient and Caregiver Perception of Shared Decision Making in the Serious Illness Conversation
Background: The Institute of Medicine finds that patients facing serious illness have higher end-of-life quality when care plans incorporate their values, goals and preferences. A higher quality of life can be achieved by care that includes effective clinician-patient communication early in the …
-
Natural language processing for precision clinical diagnostics and treatment
In this thesis, I focus upon application of natural language processing to clinical diagnostics and treatment within the palliative care and serious illness field. I explore a variety of natural language processing methods, including deep learning, rule-based, and classic machine learning, and …
-
An Ethical Call for Early Implementation of Palliative Care for Underserved Heart Failure Patients
Heart failure is a disease that affects millions of Americans, but has a disproportionate impact on underserved, minority communities. Over the coming decade, heart failure will become a chronic disease for more Americans as treatments improve, but the disease cannot be cured. Minority populations …
-
Developing The Language And Tools To Address Food Insecurity
… is vast literature indicating associations of food insecurity with concerning health outcomes, and clinic and community settings now regularly partner to address food insecurity as it is assessed. However, there is scarce health terminology to use in the care of patients experiencing food …
-
A Novel Psychotropic Risk Assessment To Enhance Medical Management Of Patients With Behavioral And Psychological Symptoms Of Dementia
… evidence and concern documenting the risks of antipsychotic use, and psychotropic medication burden in general, for older adults with behavioral and psychological symptoms of dementia (BPSD). Yet nearly 25 percent of all long term care residents take antipsychotics for behavioral …
-
Mortality Prognostication in Long-Term Care Residents: The MDS-CHESS Scale
Quality end of life (EOL) care for the elderly continues to be a challenge, in part due to late referral for palliative and/or hospice services. The purpose of this study was to determine the accuracy of the MDS-CHESS scale (Hirdes, Frijters & Teare, 2003) in predicting 6-month mortality in a …
-
The Impact of the Patient Protection and Affordable Care Act of 2010 On the Evidence Based Practice of Distributive Justice Via Comfort Care In Elderly Burn Trauma Victims
… both the amazing recuperative capacity of the human body and the remarkable advance of modern healthcare. The Patient Protection and Affordable Care Act of 2010 (PPACA) mandates the early identification of goals-of-care through shared decision-making. Survival, even for very large burns, …
-
Management of patients on chemotherapeutic treatment for advanced cancer with acute conditions in the Emergency Department
… survival. Patients may live longer but quality of life may be affected by treatment-related events. New Zealand provides medical oncology services in a Hub and Spoke model, with an increasing emphasis on delivering treatment at out-patient ‘satellite’ services. The reality is that these services …
-
An exploration of Doctor's perceptions and the provision of Palliative Care at a Private Hospital in Gauteng, South Africa.
Introduction: Palliative care is a core component of comprehensive health care across a person's life span. South Africa is currently in the process of integrating palliative care into all levels of the health care system. Doctors play a vital role in providing these services, but misconceptions …
-
Associations Among End-Of-Life Discussions, Healthcare Utilization And Costs, And Race/ethnicity In Persons With Serious Illness
Acute care near end-of-life (EOL) is associated with lower quality of life and higher EOL costs, which are associated with worse quality death. Goals-of-care (GOC) discussions are associated with lower costs. Racial/ethnic minorities are less likely to have these discussions. It is unknown how …
-
A mixed methods study exploring fatigue in advanced cancer care
… living for longer with advanced cancer because of improvements in cancer treatments. Fatigue is the most prevalent and burdensome symptom in this cohort of patients. Thus, many could benefit from any improvements in the assessment and management of fatigue in advanced cancer care. This PhD …
-
Favoriser la communication entre les professionnels de la santé, le patient et ses proches dans le processus de choix de soins en contexte de maladie grave : planification d'une intervention dans le cadre d'une recherche-action
Background : The involvement of patients, patients' kin and health care professionals in the communication surrounding the medical decision making process must be improved to insure health care quality. Objectives : The objective of this research was to describe how the communication between a …
-
Do Not Resuscitate? The impact of standardised resuscitation documentation on the approach to hospital care in older patients
When hospital clinicians care for older, chronically unwell and dying patients, one part of their role is recognising the limitations of curative medicine. If these limitations are not considered pre-emptively, medical teams risk providing cardiopulmonary resuscitation (CPR) and other invasive …
-
Care beyond justice: The conflicted ethics of drug treatment courts
Care Beyond Justice is a dissertation based on ethnographic fieldwork at three metropolitan drug treatment courts in the United States. Drug treatment courts are specialized courts within the criminal justice system that offer eligible defendants a chance at treatment instead of incarceration. …
-
End of life decision making in a children's hospital : ethical and practice implications
Aims: To evaluate end of life practices among hospitalised children who died of HIV/AIDS. Design: Retrospective chart review. Setting: A public, secondary and tertiary children's teaching hospital in a developing country. Patients: A consecutive series of in-patient deaths among HIV-infected …