Saves the questions and what to expect into your notes, next to the visit they belong to.
Keep this study
Lead
Massachusetts General Hospital
With
American Association for the Study of Liver Diseases
Age
18–any
Sex
ALL
Healthy volunteers
Not accepted
You may be eligible if
1. Adult (≥ 18 years old) with advanced liver disease defined as cirrhosis complicated by one of the following (new or ongoing) clinically-evidence decompensating events
1. Ascites (requiring diuretics or large volume paracenteses)
2. Hepatic encephalopathy (requiring medical therapy)
3. History of variceal bleed episode within 1 year of enrollment
2. Admitted to the general medicine service
3. Ability fo communicate in English and provide informed consent
4. Have a score ≥ 7 on the Short Portable Mental Status Questionnaire
You may not be if
1. Patients with severe hepatic encephalopathy or any other comorbid condition which the primary medical team believes prohibits compliance with study procedures
2. Patients with advanced malignancies being treated with palliative intent
3. Patients already receiving specialty palliative care and/or hospice care
Caregiver Eligibility Criteria
1. A relative or friend of eligible patient, who lives with them and has in-person contact with them at least twice per week
2. Verbally fluent in English or able to complete questionnaires with the help of an interpreter
3. Age 18 or older
Clinician Selection: All palliative care clinicians who deliver the LiverPal intervention will participate in qualitative interviews. Inpatient clinicians who provided direct care to enrolled patients in either the inpatient or outpatient setting will also be eligible to participate in the qualitative interviews.