Intuition vs. Deliberation in Medical Decision Making

Inclusion Criteria

• •1. Age 60 and older
• •2. Currently an inpatient at Hospital of the University of Pennsylvania
• •3. Speaks and reads fluently in English
• •4. Either
• •1. Has one of the following medical conditions:
• •* Chronic obstructive pulmonary disease with at least severe airflow obstruction on most recent spirometry and/or eligible for long-term oxygen therapy
• •* Incurable interstitial lung disease with at least severe restriction on most recent pulmonary function tests and/or eligible for long-term oxygen therapy
• •* Congestive heart failure with NYHA Class III or higher and current hospitalization related to heart failure
• •* Acute myeloid leukemia
• •* Stage IV lymphoma
• •* Stage IIIB or Stage IV non-small cell lung cancer, cholangiocarcinoma, renal cell carcinoma, breast cancer, uterine cancer, cervical cancer, ovarian cancer, colorectal cancer, gastric cancer, pancreatic cancer, prostate cancer, urothelial cancer
• •* Stage C or D hepatocellular carcinoma
• •* Mesothelioma or any malignancy metastatic to the pleura; or
• •2. Is hospitalized on oncology, pulmonary or cardiology service and has been hospitalized at least one other time during the last year on the same service
• •5. Stable vital signs