Saves the questions and what to expect into your notes, next to the visit they belong to.
Keep this study
Lead
Brigham and Women's Hospital
With
National Institute on Aging (NIA)
Cambia Health Foundation
Age
18–any
Sex
ALL
Healthy volunteers
Not accepted
You may be eligible if
Part 1.
≥50 years of age AND ≥1 Serious illness\* OR ED clinician would not be surprised if patient died in the next 12 months
English-speaking
Capacity to consent
≥50 years of age AND ≥1 Serious illness\* OR ED clinician would not be surprised if patient died in the next 12 months
English-speaking
Patient with mild cognitive impairment or mild dementia with caregiver has a capacity to consent
Caregivers of patients with moderate/severe dementia has a capacity to consent
You may not be if
Acute physical or emotional distress
Determined by EM physician not to be appropriate
Clearly documented goals for medical care\*\* (Unless the treating clinician recommends that the patient needs the intervention)
Delirium (assessed using 3D-CAM)
Mild cognitive impairment or dementia (assessed using MiniCog or SBT)
Already enrolled in this study
Unable/unwilling to schedule the follow-up outcomes assessment on the calendar.
Part 2.
Acute physical or emotional distress
Determined by EM physician not to be appropriate
Clearly documented goals for medical care\*\* (Unless the treating clinician recommends that the patient needs the intervention)
Delirium (assessed using 3D-CAM)
Already enrolled in this study
Unable/unwilling to schedule the follow-up outcomes assessment on the calendar.
(\*NYHA Stage III/IV congestive heart failure, chronic obstructive lung disease on home oxygen, chronic kidney disease on dialysis, or metastatic solid tumor cancer. In addition, patients with NYHA Stage I/II congestive heart failure, chronic obstructive lung disease not on home oxygen, chronic kidney disease not on dialysis, solid tumor cancer without metastasis will be included if recent hospitalization in the last 12 months exists.) (\*\*MOLST, medical order for life-sustaining treatment.)
