RT Book, Section
A1 Giacomini, Mita
A1 Cook, Deborah J.
A2 Guyatt, Gordon
A2 Rennie, Drummond
A2 Meade, Maureen O.
A2 Cook, Deborah J.
SR Print(0)
ID 1183876770
T1 Qualitative Research
T2 Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice, 3rd ed
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-179071-0
LK jamaevidence.mhmedical.com/content.aspx?aid=1183876770
RD 2024/04/20
AB CLINICAL  SCENARIOWalking  out  of  the  hospital  on  Friday  night,  you  reflect  on  your  week  of  rounds  with  all  of  the  patients  for  whom  you  provide  care.  You  are  a  hospitalist  and  most  of  your  patients  are  elderly,  have  multiple  comorbidities,  and  live  independently  in  a  retirement  home,  apartment,  or  house.  Although  you  strive  to  move  them  along  the  trajectory  of  their  illness  toward  recovery,  minimizing  complications,  and  maintaining  their  prehospital  function,  some  patients  do  not  return  home.  This  week,  you  admitted  3  patients  whose  hospitalization  you  predict  is  a  terminal  event.  In  conversations,  a  family  member  of  one  of  these  patients  acknowledged  that  possibility.  You  pledge  in  the  coming  week  to  engage  in  advance  care  planning  more  directly,  beginning  by  exploring  your  patients'  awareness  that  they  may  not  survive  this  hospital  stay.