Top Tweets for #Goalsofcare
With Medical Test and Treatments for Older Adults, Often Less is More
https://t.co/YEItbBxjug
#goalsofcare #POLST #medicaltests #caregiving
@inforum @egosancares @LEAD_Coalition @drbarryjjacobs @DanielCPotts @AlzAuthors @usagainstalz @JuliaLMayer23 @thewrinkle2 @DailyCaring

NEW EPISODE ALERT! Ft. Goals of care conversations, a difficult topic for healthcare providers alike.
📷 Listen on Apple Podcast, Spotify, or your favourite podcast app!
#goalsofcare #palliativecare #mentalhealth #psychiatry #education #podcastlife
https://t.co/BRrq6Nd21q
Providence Health Care System increased #GoalsOfCare conversation documentation from 7% to 85%. How did they achieve this? And how can you also do it? Guests @IraByock, @snoqualmie, & @mattgonzalesmd. #hpm
👉 Full episode: https://t.co/kem0teDdge
😀hosts @AlexSmithMD | @EWidera
Proud of Dr Aushja Syed @nyp Queens for winning poster award at Queens Lang Research, then postering @WeillCornell QPS Symposium- on #GoalsOfCare communication training for housestaff to provide patient-centered care

1. @pmcancercentre #PalliativeCare's @HannonBreffni shared research on barriers to addressing #GoalsOfCare on solid tumour inpts @dunbar37 @drkokrainec @michael_detsky

14 yrs ago I cared for a pt shocked 28x by her ICD, unbeknownst to anyone. She was aphasic due to a recent CVA. I made it my mission to help us do better in #medicine to ensure ICDs are aligned w/ pts’ #goalsofcare. Proud to share some of our work.
https://t.co/GGGiQ3cYmV
#humanityinmedicine
#humanityfirst
@PristineThinPen @utswheart @UTSWMedCenter @UTSWInternalMed @UTSWCardfellow

How do patients want their #CodeStatus discussed? In a new randomized study, most supported a values-centered approach, which focuses on what the clinician recommends based on a discussion of their #GoalsOfCare.
@KeiO97
Read in #JGIM: https://t.co/PjAFJmpdO3
Timely recognition of dying is important for high quality #EndofLifeCare, however little is known about how clinicians recognise #dying. Late recognition can lead to futile treatment & prevent a change in the focus of care https://t.co/Kc89xXTKLW #clinicians #nursing #GoalsofCare

Excited to be Interviewed by the New York Times! Grateful for their focus on advanced care planning and goals of care conversations @SmithDanaG Check out the article here: https://t.co/ix9v923Crz. #AdvancedCarePlanning #GoalsOfCare
Here are 5 things that I use to help prognosticate patients in the ICU 📉
Most importantly, prognostication reminds me of the quote "prediction is difficult, especially about the future".
Stay humble and don't be afraid to express uncertainty to pts. and families
(Note: #5 is often missed and one of the most powerful)
A 🧵
#medtwitter #foamed

Always an honor to take care of our veterans and discuss patient-centered #goalsofcare 🙏#oncologistdiary @SylvesterCancer

Allowing Patients to Die: We discuss what it means to have #QualityOfLife, respecting #GoalsOfCare, limitations of #AdvanceDirectives, ethics of rationale suicide +more. Guests @LouiseAronson & Bill Andereck. #hpm
Episode https://t.co/UjO4A4nDRn - hosts @AlexSmithMD | @EWidera
The discussion with Dr. Mitsuo Tomita about VSED, boiled down to a simple Advance Care Planning question you can choose:
“Do you want to be hand fed❓”
#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #AdvanceDirective #AdvanceCarePlanning #GoalsOfCare 1/3
Research by @GinaPiscitello, @JaneSchell11, @rabob, & @SchenkerYael reveals a targeted #GoalsOfCare initiative leads to similar documentation rates across racial groups in hospitalized patients. This approach may help reduce disparities in #EndOfLifeCare.
https://t.co/Mzbb9R0928

We have codesigned some new 1-page reference guides for HCPs for #GMEDSS! Check them out here:
https://t.co/iNLdcSCsDp
#SydneyPharmacySchool #Deprescribing #GoalsOfCare
@AgedCareQuality
@KollingINST
@findmetweet
@AgeingClinPharm

Response? #GoalsofCare
#communicated though whole health system - becomes most important document in health care along with health professionals with appropriate skills, knowledge, experience, training and time - Prof Ken Hillman @UNSWMedicine #PCNA24

The system will need to IDENTIFY patients at-risk of nearing the #EndofLife & then to RESPOND appropriately.
APPROPRIATE RESPONSE - #PersonCentred management actions consistent with a person's wishes & choices. Prof Ken Hillman @UNSWMedicine #PCSA24 #GoalsofCare

'Oncologists should focus on honest #communication about prognosis...Efforts should help oncologists recognize when additional therapy is futile, improve communication about care goals...' #EndofLifeCare #GoalsofCare
Does oncologic treatment for very advanced disease improve survival?
1⃣The study analyzed 78,446 adult patients with six common metastatic solid tumors. It found no significant survival benefit for patients receiving more systemic therapy for very advanced cancer.
2⃣There was no significant difference in survival between patients treated with high and low levels of systemic therapy. Oncologists should focus on honest communication about prognosis rather than offering additional therapy.
3⃣Efforts should help oncologists recognize when additional therapy is futile, improve communication about care goals, and align payment with better end-of-life care. Redirecting funds to home care and hospice services could enhance patient and caregiver satisfaction.
@JAMAOnc @ASCO @myESMO @OncoAlert @tmprowell @NCIDirector @VincentRK @DrChoueiri @GlopesMd @ASCOPres @AmerCancerCEO @FAndreMD #cancer #oncology
doi:10.1001/jamaoncol.2024.1129

@GinaPiscitello #HPM folks: Anyone with experience using AI to increase documentation of #GoalsOfCare?
Today project lead @kim_devery was invited to present at the #Cancer Grand Round at Flinders Medical Centre! Our ready-to-use #TrainingResources for your team are available here ➡ https://t.co/AuQ1KkFAFb #PatientCentredCare #GoalsofCare
Thank you @SouthernAdlLHN😊

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