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Inpatient palliative care teams are reaching a broader mix of patients earlier in the course of their illness

Palliative Care Reaching More Inpatients With Serious Illness

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From 2013 to 2017, more patients discharged alive, consistent with palliative care earlier in illness
Most critical care nurses feel inadequately prepared to provide palliative care

Few Critical Care Nurses Feel Competent in Providing Palliative Care

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Moral distress levels vary with perceived use of care; higher levels of distress seen with less frequent use
For patients with advanced lung cancer

Timely Palliative Care After Lung Cancer Diagnosis May Up Survival

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Palliative care at 31 to 365 days after diagnosis of advanced lung cancer linked to improved survival
More intensive patterns of end-of-life care are associated with lower family ratings of quality of care among patients with advanced chronic kidney disease

Family Dissatisfaction Greater When Intensive End-of-Life CKD Care Utilized

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Receipt of maintenance dialysis and more intensive patterns of end-of-life care linked to lower ratings
Hospitalized older adults transferred to a long-term acute care hospital have poor survival

Survival Poor for Elderly Admitted to Long-Term Acute Care Setting

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Among older Medicare beneficiaries admitted to LTAC, more than one-third died in an inpatient setting
There was an increase in provision of palliative care for patients hospitalized between 2006 and 2014 with end-stage kidney disease requiring dialysis

Rates of Palliative Care Rising for Inpatients With ESKD on Dialysis

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However, significant racial disparities exist and persist across all hospital subtypes
Policies to support team-based palliative care are urgently needed to meet the growing demand for specialty palliative care

Policy Changes Proposed to Meet Projected Need for Palliative Care

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Modeling suggests the number of palliative care physicians is decreasing
The global burden of serious health-related suffering is set to increase 47 percent by 2060

Global Burden of Serious Health-Related Suffering to Double by 2060

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Fastest increases seen in low-income countries, among older people, and for those with dementia
Low socioeconomic position is a risk factor for potentially poor-quality end-of-life care

Low Socioeconomic Position Linked to Poor End-of-Life Care

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People living in most deprived neighborhoods more likely to die in hospital, not receive palliative care
For adult patients in the intensive care unit

Having Hospital Palliative Care Doesn’t Impact Tx Intensity

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Benefit of hospital palliative care program for patients in ICU is in increased discharge to hospice