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Utilization of Palliative Care for Patients with COVID-19 and Acute Kidney Injury during a COVID-19 Surge

Clin J Am Soc Nephrol. 2022 Mar;17(3):342-349. doi: 10.2215/CJN.11030821. Epub 2022 Feb 24.ABSTRACTBACKGROUND AND OBJECTIVES: AKI is a common complication of coronavirus disease 2019 (COVID-19) and is associated with high mortality. Palliative care, a specialty that supports patients with serious illness, is valuable for these patients but is historically underutilized in AKI. The objectives of this paper are to describe the use of palliative care in patients with AKI and COVID-19 and their subsequent health care utilization.DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: We conducted a retrospective analysis of New York University Langone Health electronic health data of COVID-19 hospitalizations between March…
Origen: Utilization of Palliative Care for Patients with COVID-19 and Acute Kidney Injury during a COVID-19 Surge – PubMed

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Serious Illness Discussion in Palliative Care-A Case Study Approach in an African American Patient with Cancer

Crit Care Nurs Clin North Am. 2022 Mar;34(1):79-90. doi: 10.1016/j.cnc.2021.11.006. Epub 2022 Jan 21.ABSTRACTMedicare’s new focus on end-of-life care has driven nurses and other clinicians to re-examine when advanced care planning should begin, and serious illness discussions should be conducted. This article will address barriers to, cultural influences on, framing of, and documentation of serious illness discussions using a case study approach.PMID:35210027 | DOI:10.1016/j.cnc.2021.11.006
Origen: Serious Illness Discussion in Palliative Care-A Case Study Approach in an African American Patient with Cancer – PubMed

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Palliative Care and Population Management Compassionate Extubation of the ICU Patient and the Use of the Respiratory Distress Observation Scale

Crit Care Nurs Clin North Am. 2022 Mar;34(1):67-78. doi: 10.1016/j.cnc.2021.11.004. Epub 2022 Jan 21.ABSTRACTEnd of life (EOL) can be an extremely stressful experience for patients, their families, and health care staff. Critical care nurses are trained to help patients survive acute episodes and assist in restoring their health. Unfortunately, not all ICU patients are able to fully recover or obtain previous quality of life before hospitalization. In these situations, the focus moves to transitioning patients from restorative care to palliative care. This article will explain EOL care guidelines for critical care nurses using the Respiratory Distress Observation Scale to ensure…
Origen: Palliative Care and Population Management Compassionate Extubation of the ICU Patient and the Use of the Respiratory Distress Observation Scale – PubMed

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Minority Populations and the Use of Palliative Care

Crit Care Nurs Clin North Am. 2022 Mar;34(1):19-29. doi: 10.1016/j.cnc.2021.11.002. Epub 2022 Jan 21.ABSTRACTEmpirical data show benefits to palliative care (PC) early across the disease trajectory. In the United States, compelling racial inequities exist in access to PC services for minority populations. Minorities who are diagnosed with advanced disease later than nonminorities report adversity accessing treatment availabilities. Thus, poverty, racial discrimination, insurance coverage, and education barriers can affect a person’s access to PC assistance. These barriers ultimately result in delayed diagnosis and overall poorer health outcomes. Social and health care inequalities are broad among the sphere of the vulnerable and…
Origen: Minority Populations and the Use of Palliative Care – PubMed

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