The American journal of clinical nutrition
Authors: Rubin LH, Gustafson DR, Warrior L, Sheira L, Fitzgerald KC, Dastgheyb R, Weber KM, Tien PC, French A, Spence AB, Sharma A, Williams DW, White CJ, Seaberg EC, Frongillo EA, Weiser SD
The Lancet. Neurology
Authors: Burns DK, Alexander RC, Welsh-Bohmer KA, Culp M, Chiang C, O'Neil J, Evans RM, Harrigan P, Plassman BL, Burke JR, Wu J, Lutz MW, Haneline S, Schwarz AJ, Schneider LS, Yaffe K, Saunders AM, Ratti E, TOMMORROW study investigators
Psychiatric services (Washington, D.C.)
Authors: Nagata JM, Ganson KT, Bonin SL, Twadell KL, Garcia ME, Langrock O, Vittinghoff E, Tsai AC, Weiser SD, Abdel Magid HS
American journal of obstetrics and gynecology
Authors: Jacoby VL, Murtha A, Afshar Y, Gaw S, Asiodu I, Tolosa J, Norton ME, Boscardin J, Flaherman V
Alzheimer's & dementia (Amsterdam, Netherlands)
Authors: O'Bryant SE, Johnson LA, Barber RC, Braskie MN, Christian B, Hall JR, Hazra N, King K, Kothapalli D, Large S, Mason D, Matsiyevskiy E, McColl R, Nandy R, Palmer R, Petersen M, Philips N, Rissman RA, Shi Y, Toga AW, Vintimilla R, Vig R, Zhang F, Yaffe K, HABLE Study Team
Journal of pain and symptom management
Authors: Blythe JA, Kentish-Barnes N, Debue AS, Dohan D, Azoulay E, Covinsky K, Matthews T, Curtis JR, Dzeng E
American journal of surgery
Authors: Kalbfell EL, Buffington A, Kata A, Brasel KJ, Mosenthal AC, Cooper Z, Finlayson E, Schwarze ML
BACKGROUND
After serious postoperative complications, patients and families may experience conflict about goals of care.
METHODS
We performed a multisite randomized clinical trial to test the effect of a question prompt list on postoperative conflict. We interviewed family members and patients age ≥60 who experienced serious complications. We used qualitative content analysis to analyze conflict and characterize patient experiences with complications.
RESULTS
Fifty-six of 446 patients suffered a serious complication. Participants generally did not report conflict relating to postoperative treatments and expressed support for the care they received. We did not appreciate a difference in conflict between intervention and usual care. Respondents reported feeling unprepared for complications, witnessing heated interactions among team members, and a failure to develop trust for their surgeon preoperatively.
CONCLUSION
Postoperative conflict following serious complications is well described but its incidence may be low. Nonetheless, patient and family observations reveal opportunities for improvement.
View on PubMed
Journal of palliative medicine
Authors: Bischoff KE, Choi S, Su A, Cohen E, O'Riordan DL, Oettel E, Blachman M, Meister S, Zapata C, Lindenfeld P, Calton B, Witt L, Pantilat SZ, Shah RJ
Journal of the American Geriatrics Society
Authors: Yang EZ, Kotwal AA, Lisha NE, Wong JS, Huang AJ
Journal of the American Geriatrics Society
Authors: Growdon ME, Gan S, Yaffe K, Steinman MA
