Faculty Bibliography
Searched for:
person:rls305
Total Results:
11
A Vital Layer of Support: One Safety Net Hospital's Palliative Care Response to the Pandemic
PMID: 33555977
ISSN: 1557-7740
CID: 4780802
National outreach of telepalliative medicine volunteers for a New York City safety net system COVID-19 pandemic response
The COVID-19 surge in New York City created an increased demand for palliative care (PC) services. In staff-limited settings such as safety net systems, and amid growing reports of healthcare worker illness, leveraging help from less-affected areas around the country may provide an untapped source of support. A national social media outreach effort recruited 413 telepalliative medicine volunteers (TPMV). After expedited credentialing and onboarding of 67 TPMV, a 2-week pilot was initiated in partnership with five public health hospitals without any previous existing telehealth structure. The volunteers completed 109 PC consults in the pilot period. Survey feedback from TPMV and on-site PC providers was largely positive, with areas of improvement identified around electronic health record navigation and continuity of care. This was a successful, proof of concept, quality improvement initiative leveraging TPMV from across the nation for a PC pandemic response in a safety net system.
PMCID:7258838
PMID: 32479861
ISSN: 1873-6513
CID: 4468662
Working Upstream in Advance Care Planning in Pandemic Palliative Care
PMID: 32706629
ISSN: 2326-5108
CID: 4534282
Elective Repatriation for Undocumented Immigrants at End of Life
Undocumented immigrants who become ill with a life-limiting illness are often faced with difficult choices and decisions to make. One decision with important advocacy implications for the palliative care nurse is whether the individual wants to spend the last few weeks and days of life in this country or his/her country of origin. Through a case study, some of the unique barriers undocumented immigrants face when they receive a diagnosis of a terminal illness and want to return home will be reviewed. Critical components of the nurses' role in guiding the patient and family through an anticipated process of benefits and burdens as they contemplate returning to their country of birth will be described.
ISI:000372456700002
ISSN: 1539-0705
CID: 2076972
Anorexia and cachexia
New York, NY, US: Oxford University Press, 2016
pp. 254-259
ISBN: 978-0-19-020474-7
CID: 2259742
Playing Together in the Sandbox: An Interprofessional Simulation to Teach Collaborative Communication Skills in a Family Meeting [Meeting Abstract]
ISI:000348478200109
ISSN: 1873-6513
CID: 1477272
Hidden in Plain Sight: Palliative Care for Undocumented Immigrants [Meeting Abstract]
ISI:000348478200055
ISSN: 1873-6513
CID: 1480902
Palliative Care in the Era of Hypothermia Protocols [Meeting Abstract]
ISI:000331150000047
ISSN: 0885-3924
CID: 852772
Goals of Care Discussion and Withdrawal of Life-Sustaining Treatment Using High Fidelity Simulation [Meeting Abstract]
ISI:000331150000117
ISSN: 0885-3924
CID: 852812
Medical repatriation at end of life: Barriers, facilitation, and fulfillment-A case-series study at a New York public hospital
141 Background: Foreign-born cancer patients frequently desire to return to their home country at the end of life. However, many barriers can make this process challenging. We herein present our recent experience with such patients. METHODS: We reviewed charts of terminal cancer patients (pts) who traveled to their homeland at the end of life. Pts' age, diagnoses, co-morbidities, prior cancer-directed treatment, predicted survival, symptoms, code status, admissions within 4 weeks of travel, oxygen need were noted. Interval between decision to travel and travel date, events during travel, and feedback from families, if available were collected. RESULTS: 17 charts (11 female, 6 male) were analyzed. Mean age was 60 years and the most common diagnosis was thoracic malignancy (70%, 12 pts). All pts had disseminated cancer and had received an average of 2 lines of cancer-directed therapy. All had progressive cancers with expected survival <6 months. All were under the care of medical oncologists, palliative care and social work. The mean interval between decision to travel and travel date was 9 days. 8 were hospitalized at least once in the 4 weeks prior to the day of travel and 6 were cared for as inpatients immediately prior to travel. 11 pts were receiving opioids for pain and 3 were oxygen-dependent. 10 had documented discussions regarding resuscitation and 9 were discharged with New York State out-of -hospital DNR forms. All were discharged with medical records, medication supply and provider contact information. Mean travel distance was 4,099 miles. Provider concerns for decompensation during travel included brain herniation (2), spinal cord compression (3), bleeding (1), and sepsis (2). 16 pts successfully completed their journey. 1 pt died en-route prior to boarding the aircraft. 12 pts/families provided positive feedback about the experience. CONCLUSIONS: Return to homeland is an important goal for many terminally ill cancer pts and should be a routine part of end-of-life discussions. Medical repatriation can be accomplished when conducted in a planned, well-coordinated manner. Insights from this review can help us create guidelines that can be readily applied to specific scenarios.
ORIGINAL:0013187
ISSN: 1527-7755
CID: 3590052
