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PURPOSE Decision making regarding cardiopulmonary resuscitation (CPR) is challenging. This study examined the effect of a video decision support tool on CPR preferences among patients with advanced cancer. PATIENTS AND METHODS We performed a randomized controlled trial of 150 patients with advanced cancer from four oncology centers. Participants in the(More)
Older patients are at risk for a variety of sleep disorders, ranging from insomnia to circadian rhythm disturbances. The clinical consequence of unremitting sleep disturbances in the elderly population often includes hypersomnolence and may result in disorientation, delirium, impaired intellect, disturbed cognition, psychomotor retardation, or increased(More)
Patients with serious or life-threatening illness are likely to find themselves in an emergency department at some point along their trajectory of illness, and they should expect to receive high-quality palliative care in that setting. Recently, emergency medicine has increasingly taken a central role in the early implementation of palliative care. This(More)
OBJECTIVE To describe the impact of a Tennessee Department of Health regulation amendment requiring that all nursing home residents 65 years of age or older demonstrate documentation of pneumococcal vaccination, or documented medical contraindication, or patient refusal. DESIGN Cross-sectional descriptive study of nursing homes using a mailed(More)
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