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Advance Care Planning Boosted with Machine Learning Models
Patients who engage in advance care planning conversations are more likely to receive end-of-life care consistent with their wishes. A major challenge is accurately predicting when a patient is near the end of life. This is an area where machine learning models can help.
Social Determinants of Health Affect Caregivers’ Coping Strategies
Caregivers with poor coping skills may struggle with stress, anxiety, and depression — all risk factors for poor health outcomes. Caregivers facing higher social determinants of health risks (such as limited financial resources or lack of access to quality healthcare) may have diminished capacity to cope with stressors.
Decision-Making Capacity of Psychiatric Patients Is Ethically Complex
Clinicians often have difficulty assessing decision-making capacity in psychiatric patients. One reason is that capacity can fluctuate based on the patient’s condition or treatment.
Residents Lack Conflict Management Skills, Raising Ethical Concerns
Chinedu Okoli, MBBS, and colleagues surveyed 65 resident physicians and interviewed 15 resident physicians to learn more about the conflicts residents encounter and how those conflicts are addressed.
Participants in Cancer Trials Weigh Multiple Benefits and Burdens
When deciding on whether to participate in a cancer clinical trial, a patient may want to help others while at the same time hoping for a cure and worrying about lack of transportation.
Not Just Clinicians: Research Staff Experiences Moral Distress, Too
When ethicists encounter a concern about “moral distress,” it often comes from a nurse who feels aggressive end-of-life care is not in a patient’s best interest. But what about a researcher who feels enrollment in a clinical trial is not in a patient’s best interest?
Seriously Ill Patients Have Unmet Needs at Discharge
Aaron A. Kuntz, MD, a palliative care physician in the Division of General Medicine at Beth Israel Deaconess Medical Center, wanted to better understand patient and caregiver experiences with the hospital discharge process. The researchers interviewed 11 patients and four caregivers who received palliative care during a hospitalization. The patients and caregivers described lack of clarity on the next steps and needing more education on post-discharge services.
Training Is Needed as Palliative Care Moves to Home Health Setting
There is growing awareness of the need to integrate palliative care in the home health setting. However, two important ethical questions remain unanswered. Is the home health care workforce ready to deliver palliative care? And are home health patients ready to accept palliative care?
Stakeholder Engagement Is Important in Palliative Care Research
Involving stakeholders in palliative care research promotes successful recruitment, data collection and analysis, and dissemination of study findings. However, researchers face many challenges in doing this effectively.
Religion and Spirituality Course Content Varies in Graduate Bioethics Programs
Almost a decade ago, Cynthia Geppert, MD, PhD, DPS, adjunct professor of bioethics at the Alden March Bioethics Institute at Albany Medical College, noticed that few graduate bioethics programs included a course addressing religion and spirituality. This realization led to Geppert co-developing a religion and bioethics course in 2018.