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Related Concept Videos

Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Continuing Care01:25

Continuing Care

Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Restorative Care01:19

Restorative Care

Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...

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Related Experiment Video

Updated: Jun 8, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

Palliative Care for Older Adults With Hip Fracture: An Explanatory Sequential Mixed-Methods Study.

Daniel I Hoffman1, Sydney Moore2, Amanda J Reich2

  • 1Center for Surgery and Public Health (D.I.H., S.M., A.J.R., C.S., M.R., M.T., D.D., Z.C.), Brigham and Women's Hospital, Boston, Massachusetts, USA; Department of Surgery (D.I.H., Z.C.), Brigham and Women's Hospital, Boston, Massachusetts, USA.

Journal of Pain and Symptom Management
|June 6, 2026
PubMed
Summary

Palliative care (PC) documentation is low for hip fracture patients, with less than 25% having goals of care conversations or hospice discussions documented. This highlights a need to improve PC integration in surgical care.

Keywords:
Palliative carehip fracturenatural language processingserious illnesssurgery

Related Experiment Videos

Last Updated: Jun 8, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

Area of Science:

  • Geriatric Medicine
  • Palliative Care
  • Health Services Research

Background:

  • Older adults with hip fractures face high mortality and burdensome treatments, suggesting potential benefits from palliative care (PC).
  • Integration of PC best practices into inpatient hip fracture care is not well-studied.

Purpose of the Study:

  • To assess the frequency of inpatient palliative care (PC) process documentation in seriously ill older adults with hip fractures.
  • To explore clinicians' perspectives on the observed patterns of PC documentation.

Main Methods:

  • An explanatory sequential mixed-methods design was employed.
  • Natural language processing analyzed documentation of PC processes (proxy, code status, GOCC, hospice, specialty PC) in hip fracture admissions (2016-2019).
  • Semi-structured interviews with clinicians explored perspectives on documentation rates, with thematic analysis of transcripts.

Main Results:

  • Documentation rates for goals of care conversations (GOCC), hospice discussions, and specialty PC were below 25% for 1,433 hip fracture admissions.
  • Clinicians perceived low documentation as indicative of under-delivery, citing workflow barriers like lack of standardization and diffused responsibility.
  • A surgical culture focused on 'rescue' and perioperative optimization, rather than palliative care, contributed to limited GOCC and PC integration.

Conclusions:

  • Palliative care process documentation is notably low during inpatient hip fracture care.
  • Limited standardization, unclear roles, and cultural factors impede PC documentation and delivery.
  • There are significant opportunities to enhance palliative care integration within surgical settings for hip fracture patients.