Edith Burns
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View article: An Intervention to Increase Advance Care Planning Among Older Adults With Advanced Cancer
An Intervention to Increase Advance Care Planning Among Older Adults With Advanced Cancer Open
Importance Many older adults with advanced cancer never communicate goals of care or treatment preferences to their clinicians, raising the risk that care received will not match their values. Scalable models of care may help surmount this…
View article: The adaptation of meaning centered psychotherapy to develop RELOAD-C: a web-based tool to reduce loneliness in caregivers of persons with Alzheimer’s disease and related dementias
The adaptation of meaning centered psychotherapy to develop RELOAD-C: a web-based tool to reduce loneliness in caregivers of persons with Alzheimer’s disease and related dementias Open
Background More than 60% of caregivers of persons with Alzheimer’s disease and related dementias (AD/ADRD) are lonely. Meaning and purpose in life is associated with reduced feelings of loneliness, but has not yet been systematically foste…
View article: WHAT KIND OF HEALTH SCREENING IS USEFUL FOR PERSONS AGING WITH HIV?
WHAT KIND OF HEALTH SCREENING IS USEFUL FOR PERSONS AGING WITH HIV? Open
Background In the United States, 54% of people aging with HIV (PAWH) are age >/= 50 and 89.7% are virally suppressed. HIV is linked to increased risk of developing comorbidities and may accelerate aging. This population may not receive …
View article: IMPACT OF 4MS ON OUTCOMES FOR HOSPITALIZED OLDER ADULTS IN AN AGE-FRIENDLY SYSTEM
IMPACT OF 4MS ON OUTCOMES FOR HOSPITALIZED OLDER ADULTS IN AN AGE-FRIENDLY SYSTEM Open
Introduction The Institute for Healthcare Improvement identifies four essential components (the 4Ms) of high-quality care for older adults within an Age-Friendly Health System (AFHS): What Matters, Medication, Mentation, and Mobility. This…
View article: A TRANSITIONS OF CARE INTERVENTION (FOR OLDER ADULTS) TO REDUCE 30-DAY READMISSIONS FROM SUBACUTE REHABILITATION
A TRANSITIONS OF CARE INTERVENTION (FOR OLDER ADULTS) TO REDUCE 30-DAY READMISSIONS FROM SUBACUTE REHABILITATION Open
Hospital readmissions for older adults from subacute rehabilitation facilities (SAR) are a common challenge for healthcare systems. Patient medical complexity, lack of communication during transitions of care, and other factors contribute …
View article: DO RELIGION, CULTURE, RACE, OR ETHNICITY PLAY A ROLE IN CHOOSING PEG TUBE AT THE END OF LIFE?
DO RELIGION, CULTURE, RACE, OR ETHNICITY PLAY A ROLE IN CHOOSING PEG TUBE AT THE END OF LIFE? Open
Although there is substantial evidence that Percutaneous Endoscopic Gastrostomy (PEG) causes significant morbidity and does not change mortality for patients with advanced dementia it continues to be used. We describe a quality initiative …
View article: THE DEVELOPMENT OF RELOAD-C, A WEB-BASED PLATFORM TO REDUCE LONELINESS IN CAREGIVERS OF PERSONS WITH ADRD
THE DEVELOPMENT OF RELOAD-C, A WEB-BASED PLATFORM TO REDUCE LONELINESS IN CAREGIVERS OF PERSONS WITH ADRD Open
There is a need for effective evidence-based interventions to reduce loneliness in caregivers of persons with Alzheimer’s Disease and Related Dementias (ADRD). Interventions to reduce loneliness may be strengthened by incorporating concept…
View article: FEASIBILITY OF USING SMARTPHONES AS A TOOL TO PROMOTE PHYSICAL ACTIVITY IN OLDER ADULTS
FEASIBILITY OF USING SMARTPHONES AS A TOOL TO PROMOTE PHYSICAL ACTIVITY IN OLDER ADULTS Open
Smartphones have potential to allow asynchronous education, individualized feedback and coaching around physical activity (PA) though it’s unclear if older adults make use of these capabilities. We conducted anonymous, semi-structured inte…
View article: Transforming health care: A large health organizations' journey to become an <scp>age‐friendly</scp> health system ( <scp>AFHS</scp> ) and beyond
Transforming health care: A large health organizations' journey to become an <span>age‐friendly</span> health system ( <span>AFHS</span> ) and beyond Open
Background In 2017, the John A. Hartford Foundation partnered with the Institute for Health Care Improvement, American Hospital Association, and Catholic Health Care Organization to define the 4Ms framework to improve quality of care and h…
View article: Video Intervention and Goals-of-Care Documentation in Hospitalized Older Adults
Video Intervention and Goals-of-Care Documentation in Hospitalized Older Adults Open
Importance Despite the benefits of goals-of-care (GOC) communication, many hospitalized individuals never communicate their goals or preferences to clinicians. Objective To assess whether a GOC video intervention delivered by palliative ca…
View article: A Retrospective Cohort Review of the Health Disparities in the Older Adult Population with the Recent Surge in Telemedicine Use
A Retrospective Cohort Review of the Health Disparities in the Older Adult Population with the Recent Surge in Telemedicine Use Open
Background Evaluate telemedicine uptake (audio-video and audio-only communications) and document sociodemographic differences amongst older adults during 2020. Methods Retrospective review of electronic medical records of patients 65 + yea…
View article: A COMPREHENSIVE ALZHEIMER’S AND DEMENTIA CARE PROGRAM (ADCP) FOR PATIENTS AND CAREGIVERS
A COMPREHENSIVE ALZHEIMER’S AND DEMENTIA CARE PROGRAM (ADCP) FOR PATIENTS AND CAREGIVERS Open
Background Alzheimer’s and related dementias (ADRD) are progressive and associated with behavioral and psychological symptoms (BPSD) contributing to caregiver stress. We report initial impact of implementing UCLA-designed ADCP to support A…
View article: A QUALITY INITIATIVE TO INCREASE HOSPICE REFERRALS FOR STARS PATIENTS DURING THE SECOND COVID SURGE
A QUALITY INITIATIVE TO INCREASE HOSPICE REFERRALS FOR STARS PATIENTS DURING THE SECOND COVID SURGE Open
Background CMS uses the Overall Hospital Quality Star Rating program to stratify hospitals based on specific quality criteria (e.g., 30-day readmissions of older adults with pneumonia). “STARS patients” experience more readmissions, longer…
View article: PHYSICAL ACTIVITY IN DEMENTIA PATIENTS AND CAREGIVERS
PHYSICAL ACTIVITY IN DEMENTIA PATIENTS AND CAREGIVERS Open
Many studies have explored the benefits of physical activity (PA) in mitigating risk for and symptoms of dementia. However, there are challenges to implementing PA with dementia patients. We conducted an acceptability/feasibility study of …
View article: BEHAVIORAL AND PSYCHOLOGICAL SYMPTOMS OF DEMENTIA (BPSD) IN HOSPITALIZED OLDER ADULTS WITH AD/ADRD
BEHAVIORAL AND PSYCHOLOGICAL SYMPTOMS OF DEMENTIA (BPSD) IN HOSPITALIZED OLDER ADULTS WITH AD/ADRD Open
The epidemiology of Behavioral and Psychological Symptoms of Dementia (BPSD) in hospitalized older adults with Alzheimer’s Disease (AD) and AD-related dementias (ADRD) has not been well-characterized. The purpose of this abstract is to exa…
View article: Study protocol for Video Images about Decisions to Improve Ethical Outcomes with Palliative Care Educators (VIDEO-PCE): a pragmatic stepped wedge cluster randomised trial of older patients admitted to the hospital
Study protocol for Video Images about Decisions to Improve Ethical Outcomes with Palliative Care Educators (VIDEO-PCE): a pragmatic stepped wedge cluster randomised trial of older patients admitted to the hospital Open
Introduction Despite the known benefit to patients and families, discussions about goals, values and preferences for medical care in advancing serious illness often do not occur. Many system and clinician factors, such as patient and clini…
View article: Early DNR in Older Adults Hospitalized with SARS-CoV-2 Infection During Initial Pandemic Surge
Early DNR in Older Adults Hospitalized with SARS-CoV-2 Infection During Initial Pandemic Surge Open
The role of early Do Not Resuscitate (DNR) in hospitalized older adults (OAs) with SARS-CoV-2 infection is unknown. The objective of the study was to identify characteristics and outcomes associated with early DNR in hospitalized OAs with …
View article: Psychotropic Medication Use Is Associated With Greater 1-Year Incidence of Dementia After COVID-19 Hospitalization
Psychotropic Medication Use Is Associated With Greater 1-Year Incidence of Dementia After COVID-19 Hospitalization Open
Background COVID-19 has been associated with an increased risk of incident dementia (post-COVID dementia). Establishing additional risk markers may help identify at-risk individuals and guide clinical decision-making. Methods We investigat…
View article: Association of an Advance Care Planning Video and Communication Intervention With Documentation of Advance Care Planning Among Older Adults
Association of an Advance Care Planning Video and Communication Intervention With Documentation of Advance Care Planning Among Older Adults Open
ClinicalTrials.gov Identifier: NCT04660422.
View article: Telemedicine Use Among Older Adults During the COVID-19 Pandemic
Telemedicine Use Among Older Adults During the COVID-19 Pandemic Open
Objective: Although technology adoption among older adults is improving, ethnic minorities and those with socioeconomic disadvantages may have lower utilization of telemedicine. Here, we evaluate telemedicine uptake amongst community-based…