Respect for the Patient-Oncologist Relationship May Limit Serious Illness Communication by Acute and Postacute Care Clinicians After Discharge to a Skilled Nursing Facility.
Sarguni SinghAshley DafoeJohn CagleWells A MessersmithElizabeth R KesslerHillary D LumBrooke Dorsey HollimanStacy FischerPublished in: JCO oncology practice (2024)
These findings suggest that acute and postacute care clinicians defer serious illness conversations to the oncologist when patients are on a steep trajectory of decline, experiencing multiple care transitions, and may have limited contact with their oncologist. There is a need to clarify roles among nononcology and oncology clinicians in discussing prognosis and recommending hospice for older adults discharged to SNF.
Keyphrases
- palliative care
- advanced cancer
- healthcare
- quality improvement
- liver failure
- end stage renal disease
- respiratory failure
- ejection fraction
- newly diagnosed
- mental health
- drug induced
- physical activity
- pain management
- peritoneal dialysis
- aortic dissection
- affordable care act
- prognostic factors
- intensive care unit
- health insurance