Navigation Links
Hebew SeniorLife researcher receives $4.5 million grant to test videos for advance directives
Date:8/26/2014

BOSTON Advanced directives help to clarify appropriate care for elderly nursing home residents at critical moments for their health, but the process of having the necessary conversations between residents, family members and home staff is hardly routine. With a new grant from the National Institutes of Health, Susan Mitchell, M.D., M.P.H., director of the Palliative Care Research Center in Harvard-affiliated Hebrew SeniorLife's Institute for Aging Research along with colleagues from Brown University and Massachusettes General Hospital plan a big test of whether a suite of videos can help.

"This study has enormous implications" said Dr. Mitchell. "Not only will it test a very important advance care planning intervention in a very large number of nursing homes, but it will also advance the state of the science by establishing the methodology for conducting large pragmatic trials in complex nursing home health care systems."

The videos cover a range of sensitive but important topics, including an introduction to advanced directives as well as specific situations where they are important, such as when and whether to accept a feeding tube, receive CPR, or be sent to the hospital.

"Nursing homes have an obligation to have a discussion with patients about their goals of care and it's always a difficult discussion," said Vince Mor, Ph.D., the Florence Pirce Grant Professor of Health Services Policy & Practice in the Brown University School of Medicine. "It's done relatively ad hoc without a lot of training without a lot of structure. This suite of videos provides a stimulant and a structure around which the conversation can more readily proceed."

The grant provides up to $4.5 million over five years, starting with a $500,000 pilot project in the spring. Dr. Mitchell, Dr. Mor and Angelo Volandes, M.D., M.P.H. of Massachusetts General Hospital plan to work with the Pruitt Health and Genesis nursing home chains to provide the videos in 80 nursing homes. All residents, families and workers in the homes will have access to the videos. The researchers will be most interested, however, in measuring video viewership, advanced directive adoption and, most importantly, whether hospitalizations are lower among residents either with advanced dementia, or congestive heart failure or COPD along with other conditions. That will be compared against hospitalizations among similar residents in 80 similar homes where the videos are not made available.


'/>"/>

Contact: Jennifer Davis
jdavis@hsl.harvard.edu
617-363-8282
Hebrew SeniorLife Institute for Aging Research
Source:Eurekalert

Related medicine news :

1. Hebrew SeniorLife study finds no link between calcium intake and coronary artery calcification
2. University Of Iowa Celebrates The Dedication Of The Fraternal Order Of Eagles Diabetes Research Center - 100 Researchers Help Identify New Treatments & Cures For Diabetes
3. Influenced by Self-Interest, Humans Less Concerned About Inequity To Others, Researchers Find
4. Researchers examine impact of race and ethnicity in motor complete spinal cord injury
5. Researchers identify potential risk factors for urinary tract infections in young girls
6. Researchers found an important clue to potential treatments for absence seizures
7. Researchers pinpoint most common causes of dangerous eye infection post surgery and trauma
8. Certain Symptoms Can Delay Lupus Diagnosis, Researchers Report
9. Markey researchers develop web-based app to predict glioma mutations
10. Researchers Uncover Wide Socioeconomic Disparities in Survival Among Patients with a Common Form of Lymphoma
11. WSU researchers find crucial step in DNA repair
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/20/2017)... ... February 20, 2017 , ... Florida Hospital ... a new ultrasound-enhanced thrombolysis machine, a state-of-the-art device that breaks up life-threatening blood ... the Pepin Family Foundation. , “We greatly appreciate this gift from Constellation Brands. ...
(Date:2/19/2017)... , ... February 19, 2017 , ... ... for connected home healthcare, will join forces with Healthwise ® at ... Healthwise, the industry leader in evidence-based health education, technology and services, will ...
(Date:2/18/2017)... , ... February 17, 2017 , ... Park Cities Pet ... Behave” Show on the Pet Life Radio network. The episode, which was posted ... of topics including: what factors led to Park Cities Pet Sitter’s being awarded the ...
(Date:2/17/2017)... San Diego, CA (PRWEB) , ... February 17, ... ... new initiative—InvestUp—to focus on foundational and sustainable systems change designed to further positively ... Counties. , “The Board of Trustees has long considered it our duty to ...
(Date:2/17/2017)... Falls Church, VA (PRWEB) , ... February 17, ... ... Devices, Implementing the Steps to Prevent a Warning Letter, **An FDAnews Webinar**, Feb. ... , Do manufacturers distinguish between corrective action (CA) and preventive action ...
Breaking Medicine News(10 mins):
(Date:2/19/2017)... Feb. 19, 2017   AC Group Inc. , ... ranking of vendors in the PMS/EHR healthcare marketplace, will ... system requirements to succeed in this ecosystem at HIMSS,17. ... together information obtained from over 200 ACOs, compared and ... and services companies that are providing different pieces of ...
(Date:2/19/2017)... ORLANDO, Fla. , Feb. 18, 2017 /PRNewswire/ ... announced that positive Phase 1 clinical data for Nektar,s ... carcinoma (RCC) were presented at ASCO GU 2017.  NKTR-214 ... cancer-fighting T cells and Natural Killer (NK) cell abundance ... PD-1 on these immune cells.  The results were presented ...
(Date:2/18/2017)... , Feb. 17, 2017  Pharmaceutical companies have long ... products either in development or already on the market.   ... the pharma industry to alter how it manages advisory board ... leader Best Practices, LLC conducted a new study focused on ... ...
Breaking Medicine Technology: