title aahpm id session typeaahpm.org/uploads/2020_papers_and_posters.pdfd-n-arkansas: solving the...

Title AAHPM ID Session Type

Virtual Reality: Endless Potential in Pediatric Palliative Care C801

Case Poster Session

To Anticoagulate or Not: Decision Making Surrounding Anticoagulation in Patients in Hospice and Palliative Care Programs C802

Case Poster Session

Are we at a red light? A patient-centered approach to addressing driving safety when prescribing controlled substances C803

Case Poster Session

End of Life Care for Undocumented Patients and Their Families C804

Case Poster Session

When Spine Surgery Helped a Patient with Life-Limiting Illness: A Case Report Looking into the Six-Month Survival Dilemma C805

Case Poster Session

Use of Prolonged Central Intravenous Ketorolac Infusion for Chronic, Poorly Controlled, Pleuritic Pain in a Patient with Metastatic Hepatic Epithelioid Hemangioendothelioma C806

Case Poster Session

Hoigne Syndrome from Intravenous Lidocaine: Going Through Hell at the End of Life C807

Case Poster Session

'It's Music To My Ears!' A Palliative Care Team's Novel Application of Personalized Music Therapy for Dementia Patients in an Acute Hospital Setting. C808

Case Poster Session

Checking Your Own Pulse: Navigating family and staff distress associated with awake-patient requests for discontinuation of life-sustaining interventions C809

Case Poster Session

The FAFA Trial: A Phase 2 Randomized Controlled Trial on the Effect of a Fan Blowing Air on the Face to Relieve Dyspnea in Filipino Patients with Terminal Cancer C810

Case Poster Session

From Hospice Bed to Operating Table: The Use of Concurrent Hospice Care in a Liver Transplant Candidate C811

Case Poster Session

Holy ketamine: Reducing a 39,000mg morphine equivalent daily dose in a patient with complex cancer pain C812

Case Poster Session

A Novel Use for Octreotide: Drastic Improvement in QOL in Setting of Malignant Enterovaginal Fistula C813

Case Poster Session

Shared decision making in pediatrics: When the burden outweighs the benefit. A case illustration from the intensive care nursery. C814

Case Poster Session

Evidence-Based Treatment of Calcineurin-Inhibitor Induced Pain Syndrome (CIPS): a Rare but Debilitating Side Effect of Tacrolimus Immunosuppressant Therapy C815

Case Poster Session

Acute Pancreatitis: A Post-operative Complication of Celiac Plexus Neurolysis C816

Case Poster Session

When Full Agonism Isn't Enough: Buprenorphine for Chronic Pain in an Opioid-Tolerant Patient C817

Case Poster Session

Navigating the Psychosocial, Cultural, and Ethical Challenges of VSED: A Case Presentation C818

Case Poster Session

Thinking Outside the Comfort Kit: Caring for Hospice Patients with Dementia with Lewy Bodies C819

Case Poster Session

Alternative Treatment of Persistent Nausea and Vomiting Related to Recurrent Astrocytoma C820

Case Poster Session

Addiction and Buprenorphine: Challenges in Palliation C821Case Poster Session

Gabapentin for Treatment of Irritability Related to Suspected Hyperalgesia in Pediatric Patients with Complex Congenital Heart Disease and Heart Failure C822

Case Poster Session

Palliative Care interventions in Left Ventricule assisted devide (LVAD) patients facing end of life C823

Case Poster Session

Something to Lose: The Undefined Intersection of Hospice Care, Suicidality, and Firearms C824

Case Poster Session

En Las Manos de Dios: Creating Spiritual Alignment with Latinx Patients C825

Case Poster Session

Treatment Refusal Leading to Physician Moral Distress C826Case Poster Session

A Hands-Off Approach to Hands-On Care: A Checklist for Non-Pharmacological and Environmental Interventions to Manage Distressing Symptoms in Children with Sensory Processing Dysfunction C827

Case Poster Session

Time Out before PEGs: A Policy Approach for Palliative Intervention C828

Case Poster Session

Maximizing Adjunct Medications in a Patient with AIDP in the Setting of Chronic, Non-Malignant Pain C829

Case Poster Session

'What Happens When They Don't Die Quickly?' A Case Series of Pediatric Palliative Care Involvement in Infants with Anencephaly Who Live Beyond the Immediate Postnatal Period C830

Case Poster Session

Case Report: Decision Making Capacity About Withdrawing Life Sustaining Treatment in the Setting of Severe Depression C831

Case Poster Session

A Life of Purpose: Caring for Families of Children with Terminal Conditions in the NICU C832

Case Poster Session

Special Permissions Needed: De-escalating Interventions in Patients with Developmental Delay C833

Case Poster Session

Cocaine, Can we give it to our patients? Yes! Utilization of Topical Cocaine for Mucosal Pain C834

Case Poster Session

Using Buprenorphine for Cancer Pain with History of Substance Use Disorder C835

Case Poster Session

Hospice Home Birth C836Case Poster Session

Baclofen Toxicity in a Patient with Severe Kidney Injury C837Case Poster Session

Healing the Healer: Managing Countertransference and Grief Among Healthcare Providers C838

Case Poster Session

Voluntary Stop of Eating or Drinking versus Major Depression Disorder C839

Case Poster Session

Where Do Broken Hearts Go? Managing Uncertainty in Advanced Cardiac Amyloidosis C840

Case Poster Session

The Anti-Epileptic Dilemma: A How to for Transitioning Patients on Seizure Medications to Hospice C841

Case Poster Session

Death Far from Home: Cases of Middle Eastern Children Seeking Cure from Advanced Illness in the United States who transitioned to End of Life Care. C842

Case Poster Session

Challenges in the Management of Palliative Care Patients Interested in Symptom Treatment with Medical Marijuana C843

Case Poster Session

When Right is Wrong: Addressing Personality Changes in Patients with Metastatic Brain Tumors C844

Case Poster Session

Incorporating Therapeutic Gardening Experiences to Relieve Anxiety and Spiritual Distress In a Veteran at the End of Life C845

Case Poster Session

Surviving Starvation One Last Time: End of Life Care for a Cambodian Survivor of Genocide C846

Case Poster Session

Cultural alcohol use in home hospice patients receiving opioids. C847

Case Poster Session

Buy-One Get-One: When the Surrogate for your Patient Becomes your Patient C848

Case Poster Session

Dying Fast or Dying Slow? Challenges in Prognostication Following Withdrawal of Life-Sustaining Treatment C849

Case Poster Session

Lessons learned: A Case of Intractable Pain in a Hospice Patient Using Buprenorphine for Opioid Use Disorder C850

Case Poster Session

Topical Morphine Hydrogel for Severe Oral Mucositis Pain in Patients at High Risk for Aspiration C851

Case Poster Session

When Palliative Care Meets Chronic Pain C852Case Poster Session

A Tale of Two Worlds: Tracheostomy in Patients with Trisomy 18 C853

Case Poster Session

Octreotide as adjunctive pain control in hypertrophic osteoarthropathy associated with non-small cell lung cancer C854

Case Poster Session

Transition from Methadone to Propofol; A Young Father's Journey Towards Freedom from Pain At The End of Life C855

Case Poster Session

Bilateral Stereotactic Cingulotomy for Intractable Pain in a Patient with Metastatic Renal Cell Carcinoma C856

Case Poster Session

Eternal Suffering: Addressing Parental Distress in Children with Advanced Illness C857

Case Poster Session

Everything that Comes Together Falls Apart: Supporting Palliative Care LGBT and Substance Abuse Patients with the Interdisciplinary Team C858

Case Poster Session

D-N-Arkansas: Solving the Mystery of a Patient's Insistence on Remaining Full Code C859

Case Poster Session

Progressive and Painful Ulcers: A severe, lesser-known adverse effect of Pazopanib. C860

Case Poster Session

Explanding the Toolbox: Three Applications for Transdermal Buprenorphine in a Palliative Care Clinic C861

Case Poster Session

What to Expect When You're Not Expecting: A Challenging Case of Prolonged Palliative Sedation C862

Case Poster Session

Reaching the Margins: End of Life Care in Patients Experiencing Substance Use, Homelessness and Incarceration C863

Case Poster Session

Obesity-Related Healthcare Bias Complicating Goals of Care Planning C864

Case Poster Session

Development of an IDT Care Plan for Discontinuation of LVAD at Home C865

Case Poster Session

To Find a Way Back Home: The 8000 Mile Journey to Say Goodbye C866

Case Poster Session

Medical Marijuana for myalgias from Tyrosine Kinase Inhibitors: A Novel Idea C867

Case Poster Session

Congenital Airway Obstruction: Helping Families Navigate the Complex Decisions Surrounding EXIT Procedures C868

Case Poster Session

Meet Me Halfway: Trauma-Informed Care for a Veteran with Neglected Breast Cancer and Non-Western Medical Preferences C869

Case Poster Session

Brain Death: To Die or Not to Die? C870Case Poster Session

A Dose of Reality: How Witnessing CPR Convinced a Spanish-Speaking Immigrant Family to Avoid Unecessary Suffering at the End of a Patient's Life C871

Case Poster Session

'I play one on television': a case for palliative telemedicine. C872

Case Poster Session

Barriers and Challenges to Organ and Body Donation at the End-of-Life C873

Case Poster Session

Does Committing Murder-Suicide Invalidate a Patient's POLST and Advanced Directive? C874

Case Poster Session

Two Months of Refractory, Sustained Ventricular Fibrillation with a Left Ventricular Assist Device: What does Do Not Resuscitate mean with a LVAD? C875

Case Poster Session

Spiritual Injury as a Barrier to Opioid Dose Escalation for Symptom Management at End-of-Life C876

Case Poster Session

The Jewish Practice of Shmira: Guarding the Deceased Prior to Burial C877

Case Poster Session

Weight Loss as an Effective Approach to Decrease the Use of Opioids and Frequency of Vaso-occlusive Crises in Patients with Sickle Cell Disease: A Case Report C878

Case Poster Session

The Storm Before A Hopeful Rainbow: An Approach to Fetal Demise in Palliative Care C879

Case Poster Session

Risky Business: Understanding Risk, Morbidity and Mortality in Patients Receiving Decompressive and/or Venting PEG Placement C880

Case Poster Session

Family Caregivers and Concerns for Elder Neglect at the End-of-Life in the Home Hospice Patient C881

Case Poster Session

The Emergency Palliative Care Consult C882Case Poster Session

Nurses' attitudes toward care of the end-of life for non-cancer patients C883

Case Poster Session

When Hope is Lost C884Case Poster Session

Can Sudden Shifts In Goals-of-Care Be Affected By Child Abuse and Neglect? C885

Case Poster Session

Challenges and Barriers in End-of-Life Option Act Implementation C886

Case Poster Session

Breathless and Overwhelmed: Addressing Caregiver Strain In End-Stage COPD C887

Case Poster Session

Muddying the Waters: Intimate Partner Violence Influence on Surrogate Decision Making At End of Life C888

Case Poster Session

Suicide Attempt After Possible Cancer Diagnosis Leading to Ethical Dilemma in the ICU C889

Case Poster Session

Consequences and Management of Inescapable Anger in a Hospitalized Patient C890

Case Poster Session

When Do Goals of Care Expire? Examining Difficult Decision Points in a Patient with Congenital Heart Disease. C891

Case Poster Session

Caring for LGBTQ Veterans at the End of Life: Lessons Learned C892

Case Poster Session

End of Life Considerations in The Extracoporeal Membrane Oxygenation (ECMO) Patient: A Case Report C893

Case Poster Session

“They Think I’m an Addict”: Bridging Patient and Clinician Perspectives on Complex Pain and Opioid Use C894

Case Poster Session

A Novel Use of Topical Ketamine for the Treatment of Oral Pemphigus C895

Case Poster Session

Recognizing Spiritual Injury in Serious Illness C896Case Poster Session

The Tipping Point: Utilizing Comprehensive Pain Management in the Era of a National Opioid Epidemic C897

Case Poster Session

Infective Endocarditis in Intravenous Drug Users: Exploring Boundaries of Palliative Care Expertise C898

Case Poster Session

In my own words: an approach to informed consent in non-English speakers C899

Case Poster Session

When I Say I'm Done, I'm Done C900Case Poster Session

Clinician Distress as a Confounder in Patient Requests to 'Stop Everything' C901

Case Poster Session

Cremation or Burial? The Unexpected Effect of Radiotherapy on Funeral Planning C902

Case Poster Session

Ethical Dilemmas In Palliative Care: Treating Cancer In Conjunction With Psychiatric Illness C903

Case Poster Session

When Palliative Care is Needed Too Close to Home C904Case Poster Session

Respite Care in Hospice IPU for Dementia: A Case Report C905Case Poster Session

He's Too Sick To Be Here: Challenges of Providing Palliative and Hospice Care in the Setting of Serious Mental Illness C906

Case Poster Session

Secondary Treatment Options for Dementia-Related Agitation Refractory to Anti-Psychotics C907

Case Poster Session

Calciphylaxis: Optimizing Pain Management and Interdisciplinary Collaboration C908

Case Poster Session

The Ethical and Public Health Dilemma of Establishing Goals of Care with Active Tuberculosis C909

Case Poster Session

What You Don't Know Can Hurt You: Oral Supplement Use In An Oncology Patient C910

Case Poster Session

The Central Perks of Caffeine: A Case-Study in the Benefits of Methylxanthines to Treat Apnea in Trisomy 18 C911

Case Poster Session

We Are Not Giving Up: Opportunities for Earlier Integration of Palliative Care In Complex Psychiatric Cases C912

Case Poster Session

The Impact of Food on Bioavailability of Oxycodone Myristate: A Case Report C913

Case Poster Session

Healing through Organ Donation: How coordination between palliative care and organ procurement organization improves outcomes. C914

Case Poster Session

Unique Challenges to High Quality End-of-Life Care for Adults with Intellectual Disability C915

Case Poster Session

Wish You Were Here: Overcoming the Ethical and Legal Challenges of Surrogate Decision-Making from Prison C916

Case Poster Session

Intranasal Delivery of Atomized Ketamine Intravenous Solution for the Topical Treatment of Radiation-Induced Mucositis Pain: A Case Study. C917

Case Poster Session

' Either cancer will kill me or you will.' Overcoming Mistrust in Medicine through a Palliative Approach C918

Case Poster Session

Suboxone as Treatment for Concomitant Cancer-related Pain and Substance Use Disorder C919

Case Poster Session

When Things Don't Add Up: A Case of Malingering in Hospice Care C920

Case Poster Session

Palliative Management of Seizures When Unable to Tolerate Oral Regimens C921

Case Poster Session

Sorry, He Can't Come to the Phone Right Now: Addressing Communication Challenges When a Surrogate Decision-Maker is in Prison C922

Case Poster Session

A 'Mute' Point- Questioning Decision-Making Capacity in a Patient with Expressive Aphasia C923

Case Poster Session

A Perfect Storm: VT Storm Precipitated by Acute Opioid Withdrawal C924

Case Poster Session

Three of a Kind: When Existential Suffering, Anticipatory Grief, and Moral Distress are Dealt to a Dying Young Man C925

Case Poster Session

A Multidisciplinary Approach to Pain and Existential Suffering in End Stage renal Disease.. C926

Case Poster Session

Tale of Two LVADS: The Role of Palliative Care (PC) in Destination Therapy (DT) - Left Ventricular Assist Device (LVAD) Selection C927

Case Poster Session

Are Spasms Different to Spasticity? A Case of Treatment-Resistant Multiple Sclerosis-Related Spasticity C928

Case Poster Session

Management of severe radiation dermatitis after head and neck radiotherapy: A simple approach to improve symptoms and QOL C929

Case Poster Session

Too Weak to Talk, but I'm Still Here: A Palliative Approach to Amyotrophic Lateral Sclerosis (ALS) C930

Case Poster Session

Hospice Haircuts: A Life-Affirming Intervention C931Case Poster Session

Palliation of Uremic Neuropathy in End-Stage Renal Disease: A Five Year Old with Hip Pain C932

Case Poster Session

Chaplaincy Facilitating A Good Death for a Young Adult with Ewing's Sarcoma C933

Case Poster Session

Palliative Medicine in Shock Trauma: Oxymoron or Golden Opportunity for a New Framework in Caring? C934

Case Poster Session

Delirium in a Critically-Ill Premature Infant C935Case Poster Session

Ethical Issues in a Patient at Risk for Terminal Hemorrhage C936Case Poster Session

Intravenous Ketamine for Refractory Headache in Metastatic Melanoma: Fulfilling an End of Life Wedding Wish C937

Case Poster Session

Navigating Complex Critical Decisions in Patients with Concurrent Psychiatric and Serious Medical Illness C938

Case Poster Session

PC STAT to the Nurses' Station and On-call Room: A Case of Moral Distress C939

Case Poster Session

Goals of Care Fatigue: Who Are We Really Palliating? C940Case Poster Session

To Vent or Not to Vent: Ethical Cosiderations in a Newborn with Encephalopathy and Central Hypoventilation C941

Case Poster Session

A multi-centered case series highlighting the clinical use and dosing of lidocaine and mexiletine for refractory cancer pain C942

Case Poster Session

Amputation for Palliation: A Novel Option for Symptom Management in Critical Limb Ischemia at End of Life C943

Case Poster Session

Dying Family Members Give Unique Insights into Suffering for Palliative Medicine Fellow C944

Case Poster Session

Cardiac angiosarcoma induced hiccups treated with dexamethasone C945

Case Poster Session

Immense Suffering: Suicide in Palliative Medicine and Hospice FR422A Case SessionHow much is too much? Palliative care in recurrent mental illness FR422B Case Session

Having Her Cake and Eating it Too: A Case of Munchausen Syndrome in Hospice and Palliative Medicine FR422C Case SessionTerminal Lucidity: Case Presentaion and Call for Action FR422D Case SessionPalliative Care of a Rwandan Genocide Survivor with Breast Cancer: Considering Culture and Context FR423A Case SessionEstablishing the First Palliative Care Service for Cancer patients in Bangladesh at the National Institute of Cancer Research and Hospital FR423B Case SessionExpanding Supportive Kidney Care in Veterans Health Administration FR423C Case SessionDeathbed Phenomena as Signaling Needs for Transitions in End of Life Care FR423D Case Session

Shamanic Drumming Leads to Peace and Life Closure in Anticipation of Exercising California's End of Life Option FR442A Case SessionTalk Less: How Overcommunication Hampers Relationships with Patients FR442B Case SessionThat's AMORE: Intimacy at End of Life (EOL) FR442C Case SessionBleeding Love – Balancing Justice, Resource Allotment, and Unconscious Bias FR442D Case Session

'I Want to Go Home': An Interdisciplinary Perspective on Autonomy & Non-maleficence in Complex Discharge Planning FR462A Case SessionDying Against Medical Advice: When Patients Want to Die Without Hospice FR462B Case Session

Palliative Care Everywhere: Providing Truly Longitudinal Palliative Care Through a Flexible Care Delivery Model FR462C Case SessionVideo-tele-health Technology Improves Palliative Care Access for Veterans FR462D Case SessionMind the Gap: Challenges for Chronically Ill Pediatric Patients Aging into Adulthood SA510A Case SessionProlonged Dying in the Child with Neurologic Devastation: An exploration of medical, ethical and religious considerations in the context of family and provider distress SA510B Case Session'This is Not My Child': Palliative Sedation for Refractory Symptoms in A Neurologically-Impaired Child SA510C Case SessionPediatrics: Continuous Infusion Midazolam-Not Palliative Sedation! SA510D Case Session

Budding Challenges in Symptom Management: Impact of Marijuana Use on Cardiac Transplantation Candidacy SA529A Case SessionHold the Synthroid: Case of an Obtunded Elderly Female with Dementia SA529B Case SessionRegaining the Joy of Eating: Successful Treatment of Esophageal Spasm in a Hospice Patient SA529C Case Session

Sublingual Buprenorphine to Treat Pediatric Cancer Pain SA529D Case SessionLazarus Syndrome in Pediatric Hospice Care: Does It Occur and What Should Home Hospice Nurses Know? TH324A Case SessionPredicting Time to Death After Terminal Extubation in Pediatric Patients TH324B Case SessionThe Impact of Rapid Whole Genome Sequencing (rWGS) on Palliative Care Discussions in the Neonatal Intensive Care Unit (NICU) TH324C Case SessionWe Can't Rewrite HIStory: Honoring the Narrative of Families with Prenatal Trisomy 18 Diagnosis TH324D Case Session

LVAD Deactivation in the Home Setting: It Takes a Village TH342A Case SessionPreparedness Planning: The Key to Palliation for Patients with LVAD TH342B Case SessionOnly a Heartbeat Away: Ethical and Logistical Challenges of BiVAD Deactivation TH342C Case SessionThe Heart of the Matter: LVAD Decommissioning as a Means to Address Rehabilitative Goals of Care TH342D Case Session

Healing Vietnam Veterans' Moral Injury: Stress First Aid Toolkit for Hospice Teams TH372A Case SessionNavigating Adverse Outcomes after Transplantation: Bioethical and Structural Challenges TH372B Case SessionShadows of the Past: Existential Suffering Causing Chronic Abdominal Pain TH372C Case SessionUtility of Palliative Sedation as a Treatmet Option for Existential Suffering TH372D Case SessionImproving Support for Children Facing Serious Illness or Death of a Loved Adult FR408A

QI Project Paper Session

Enhanced Communication through Virtual Interdisciplinary Team Rounds for Pediatric Patients Receiving Hospice Care in Outlying Communities FR408B


Pediatric Resident's Knowledge and Attitudes Towards Spiritual Assessment and Care: An Educational Intervention. FR408C


The Reliability of Telemedicine for Hospice Face-to-Face Recertification Visits: A Quality Improvement Project FR408D


Primary Palliative Care Education for Internal Medicine Residents - A Needs Assessment FR421A


Staying Steady: Social Work Fall Reduction Program FR421BQI Project Paper Session

The Impact of a Curricular Intervention on Radiation Oncology Residents' Attitudes towards 50 Discrete Palliative Care Skills. FR421C


Pilot Testing of Aliviado Dementia Care-Hospice Edition - a Quality Assurance and Performance Improvement Program for Better Hospice Dementia Care FR421D


The Student Navigators Project: Improving Access to Early Education in End-of-Life Care for Healthcare Professional Students FR441A


Transition to a Primary Palliative Care Model in the NICU FR441BQI Project Paper Session

Using the electronic health record to identify a cohort of seriously ill patients from a primary care population across three academic health systems FR441C


Virtual Visits in Hospice: Lessons Learned and Directions for the Future FR441D


'Rehab' vs Hospice, Let's Seriously Talk; Can Jack Weight-bear, Will Jill Walk? The Impact and Benefit of Sponsored Physical Therapy Consults for Hospice Enrollees TH323A


30-day Readmission Reduction for Skilled Nursing Facility Readmissions at an Urban Medical Center TH323B

Design and Evaluation of a Pilot Palliative Care Program in the Skilled Nursing Facility TH323C


A National Pilot of Goals of Care Conversations for Seriously Ill Veterans: Patient and Site Variation and Associations with Bereaved Family Survey Outcomes TH323D


A Quality Improvement Project to Provide Early Referral to Palliative Care Clinic for Advanced Oral Cancer Patients TH341A


Designing an Electronic Point-of-Care Dashboard to Support Serious Illness Clinical Visits: a Multi-Stakeholder Coproduction Project TH341B


A Quality Improvement Project on Documentation of Changes in Code Status Using the Electronic Medical Record (EMR) in Pediatrics TH341C


Impact of Combining a Code Status Order with Admission Orders for Patients Admitted Through the Emergency Department. TH341D


Finding the Strength Within: Increasing Spiritual Screening for Inpatient Consults with a Transdisciplinary Team TH371A


Improving POLST Utilization for Seriously Ill Patients at a Tertiary Care, Academic Oncologic Hospital TH371B


COMFORTTMSM in the ICU: Advancing ICU Nurses' Role in Primary Palliative Care TH371C


Is the Fear of Respiratory Depression with Opioids Justified? TH371D


Improving Genetic Testing Protocols as a Way to Assist Grieving Families in Finding Answers to Their Child's Death QI601

QI Project Poster Session

The Dashboard of Aggressive Treatment at End-of-Life (DATE) Tool to Inform Palliative Care Optimization Efforts QI602


The Journey of Purple Butterfly QI603QI Project Poster Session

A Quality Improvement Project using LEAN tools to Improve Hospice Utilization in a Veterans Affairs Institution QI604


Leveraging Payment Reform to Implement Sustainable Depression Screening and Treatment QI605


Improving Palliative Care Chaplain Communication with the Interdisciplinary Care Team Through Implementation of the SBAR Technique QI606


Utilizing Shared Medical Appointments to increase Advance Directives Discussion and Documentation. QI607


Difficult Conversations- An Academic Intervention to Enhance Physician Communication QI608


Using Frailty to Trigger Palliative Care Referral for Patients with Heart Failure QI609


Creation and Implementation of a Palliative Sedation Policy: Foundational Aspects and Lessons Learned QI610


Legacy Work: Assessing the Impact on Families and Staff in the Hospital Setting QI611


Bringing Home Into the Academic Medical Center: Inpatient Hospice With a Community Partner QI612


Partnering with the Hospital QI Team to Improve Palliative Care Delivery in Intensive Care Units QI613


Let's Bring Pain Rating Up To Scale QI614QI Project Poster Session

Improving Nurse Knowledge and Confidence in End-of-Life Care Utilizing the End-of-Life Nursing Education Consortium Curriculum: A Pilot Project QI615


Evaluation of Palliative Care Coaching Sessions on Resident Physicians' Knowledge, Preparedness, and Frequency of Goals of Care Conversations QI616


Standardizing the Documentation of Advance Care Planning Discussions QI617


Identifying Important Palliative Topics and Communication Preferences Among ALS Patients. QI618


GiTalk: A Novel Palliative Care Communication Curriculum for Gastroenterology Fellows QI619


Prospectively Identifying People for Goals of Care Conversations QI620


Impact of Team Based Care Models: A Lean Six Sigma Strategy to Improve Palliative Team Effectiveness and Reduce 30 Day Readmissions QI621


Disposal of Opioid Medications after Death in a Palliative Care setting QI622

Educating Nurses on Palliative Care Interventions for COPD Patients in a Medical Intensive Care Unit (MICU): A Quality Improvement Project. QI623


Physicians’ Knowledge of Medical Nutrition for Patients with Advanced Dementia QI624


The Discomfort with Comfort Care Delivery in the Acute Hospital Setting: Is End-of-life Care Education for Hospital Nurses Necessary? QI625


Outcomes of a PharmD-Led Palliative Care Interprofessional Team Learning Model QI626


An Effective Strategy to Increase Advance Care Planning: Use of a Patient Video Decision Aid in Outpatient Heart Failure QI627


How long will this take, doc? Timing from end-of-life orders until death QI628


Improving Palliative Care Delivery in the Medical Intensive Care Unit: A Quality Improvement Project QI629


From Simulation to Bedside: A Pilot Study to Measure Impact of Communication Skills Training Program QI630


Implementation of a Modified Memorial Symptom Assessment Tool in the Pediatric Pallaitive Care Clinic QI631


National Institute of Nursing Research and MedlinePlus Team Up to Offer a Palliative Care Text Campaign QI632


The Feasibility of a Yoga Therapy/Mindfulness Program for Supportive Cardiology Patients QI633


Working Together: An Introduction to Palliative Care for the Medical Interpreter QI634


How to Meet the New 2019 ACGME Requirements to Incorporate Palliative and Hospice Medicine into a Teaching Community Hospital's IM GME Residency Program QI635


Not All Fatigue is Created Equal: The First Step of Palliative Symptom Management for Adults with Multiple Sclerosis QI636


Patient-Driven Goals for High-Risk Hospitalized Patients QI637QI Project Poster Session

Impact of an Advanced Care Management (ACM) Program within an Accountable Care Organization (ACO) QI638


Improving Care for Patients with Advanced Kidney Disease: More, Earlier and Better Conversations Using the Serious Illness Conversation Guide QI639


Becoming a Spiritual Care Generalist: Spirituality Training for Palliative Care Fellows QI640


What Can Your Pharmacist Do For You? Role of Collaborative Drug Therapy Management in Hospice QI641


Working Smarter Not Harder: A Quality Improvement Project to Improve an Interdisciplinary Palliative Care Rotation QI642


Pro-Active Palliative Care for Hospitalized Primary Care Patients QI643


Identifying Risks of Readmission in Patients with Dementia in SNF for Targeted Community-Based Palliative Consultation QI644


VetConnect: A Quality Improvement Program Delivering Palliative Care Services via Telehealth to Veterans Residing in Nursing Homes QI645


A Bereavement Support Group for Caregivers: A Collaborative Effort QI646


Creation of and Experience with The End of Life Plan of Care in the EMR: A Quality Improvement Project in the Pediatric Intensive Care Unit QI647


How to Strategically and Successfully Expand a Palliative Care Initiative Hospital-Wide QI648


Improving Recognition of Frailty Syndrome and Clinical Self-Efficacy in Nurse Practitioner Students QI649


ED Provider-Based Palliative Care Electronic Notification: A Quality Improvement Initiative QI650


Exploring the Needs of Palliative Care Caregivers in Rural India QI651


Weekly Rounds with Interdisciplinary Palliative Care Consult Team and Prognostication for Hematology/Oncology Inpatients QI652


Pediatric Palliative Telehealth Care from Hospital to Hospital: a Pilot Project QI653


Goals-of-Care Consultations are Associated with Lower Costs, Less Acute Care, and Greater Hospice Use among Matched Cohort of African Americans and Whites with Serious Illness E101

Scholar ePoster Session

Comparison of End of Life Care Intensity Between Chinese-American and Caucasian Advanced Cancer Patients at an American Tertiary Medical Center E102


Perceptions of Provider Communication in Hospice Family Caregivers E103


End of Life Care and the Use of Intensive Interventions in Pediatric Patients with a Diagnosis of Diffuse Intrinsive Pontine Glioma E104


'If it's the time, it's the time': Existential Communication in Naturally-Occurring Palliative Care Conversations with Individuals with Advanced Cancer, Their Families, and Clinicians E105


Pediatric Oncologists' Referral Practices to Palliative Care: Do We Practice What We Preach? E106


Characteristics and Outcomes of Hospitalized Neurosurgical Patients Referred for Palliative Care at a Tertiary Academic Medical Center E107


A Targeted Approach to Educating Medical Trainees on Safe and Effective Opioid Prescribing E108


Nurses' Degree of Comfort in Caring for Palliative and Hospice Patients: A National Survey E109


Conversations Had at Trying Times (CHATT) - Development & Testing of a High-Fidelity Simulation for Advance Care Planning E110


Leadership Training for Integrated Geriatric and Palliative Care Fellows: Vitals Skills for Future Leaders E111


The Efficacy of Case-Based Instruction on Medical Students' Attitudes Towards Pain Control and Opioid Risk Assessment in Older Adults E112


Improving Resident Physician Performance in Goals of Care Conversations with an Interactive Training Session E113

Analysis of Perinatal Palliative Training Experience Offered Among Pediatric Palliative Fellowships Nationwide, for Comparison and Development of Current Practice E114


Improving Palliative Care Outcomes for Older African Americans with Serious Illness Through Faith- Based Community Partnerships E115


Trends in Palliative Care Consultation of Hospitalized Children in the United States E116


Evaluation of Peak Inspiratory Flow Rate in Hospice and Palliative Care Patients E117


Primary Palliative Care in the Trauma Intensive Care Unit: Are Surgeons Getting Better? E118


The Impact of Levels of Advance Care Planning Engagement on Bereaved Caregivers' Perceptions of Cancer Decedents' End-of-life Experiences E119


Self-Efficacy State of the Science in Informal Caregivers of Adult Cancer Survivors E120


Reducing the Rate of Falls in Hospice Patients: A Fall Prevention Pilot Program E121


Heart Failure Task Force: A Multi-Disciplinary Approach to Treating Patients with Advanced Heart Failure E122


Oxygen Use at the End of Life: Implementing Evidence-Based Practice with the Ottawa Model of Research Use E123


The Use of Chaplaincy Services During End-of-Life Care in the Emergency Department E124


Symptom Management Plan for Palliative Home Care Patients - A Quality Improvement Project to Empower Caregivers E125


An Interdisciplinary Quality Improvement Project To Improve Transitions for Palliative Medicine Oncology Patients from Hospital to Office E126


Addressing Pain at the End of Life: A Review of Advance Directives E127


Call Me Maybe? Increasing Patient/Caregiver Comfort with Complex Symptom Management in the Home-Based Palliative Care Setting E128


Nurse-led Telephonic Palliative Care: Report from the PCORI-funded Emergency Medicine Palliative Care Access (EMPallA) Randomized Controlled Trial FR407A

Scientific Paper Session

End of Life Patterns in Patients on Extracorporeal Membrane Oxygenation FR407B


Opportunities for Palliative Care in Patients with Burn Injury - A Systematic Review FR407C


Assessing quality and bias of palliative care trials: a comparison of two tools FR407D


Palliative care transitions from acute care to community-based care - a systematic review FR420A


How to Describe a Palliative Care Practice? A Systems Perspective FR420B


Palliative Care Transitions from Acute Care to Community-Based Care: A Qualitative Systematic Review of the Experiences and Perspectives of Health Care Providers FR420C


Sign me up! Understanding Referral and Enrollment to Community-Based Pediatric Hospice and Palliative Care FR420D


Educate, Nurture, Advise, Before Life Ends: Comprehensive Heart Care for Patients and Families (ENABLE CHF-PC): An Early Palliative Care Telehealth Randomized Trial for Patients with Advanced Heart Failure FR440A


Effects of Early Palliative Care for Family Caregivers of Persons with Advanced Heart Failure: The ENABLE CHF-PC Randomized Controlled Trial FR440B


Palliative Care Consultation Reduces 30-day Readmission Rates for Hospitalized Patients with End-Stage Chronic Obstructive Pulmonary Disease FR440C


Using Guided Imagery to Address Dyspnea and Spiritual Peace for End-Stage Heart Failure Patients: An Interdisciplinary Approach. FR440D


Understanding How Patients Prioritize Beliefs about Analgesic Treatment for Cancer Pain FR460A


Impact of Voluntary Opioid Taper Program in Cancer Survivors FR460B


Palliative Care Needs of Young and Middle Age Adults (20-59) with Cancer: A Pilot Study FR460C


Patterns of Storage, Use, and Disposal of Prescription Opioids by Parents of Children with Cancer FR460D


A Palliative Care Consult Trigger Tool for Trauma Patients FR461AScientific Paper Session

Designing a 'Patient Values Tab' for the Electronic Health Record (EHR): An Investigation of the Needs and Perspectives of Key Stakeholders at a Dedicated Cancer Center FR461B


Popular Smartphone Apps to Improve Wellness and Reduce Stress: Science or Snake Oil? FR461C


Stage two in the development of the Responding to Urgency of Need in Palliative Care (RUN-PC) Triage Tool: Results of an international discrete choice experiment FR461D


Measuring the Impact of Pediatric Palliative Care on Hospital Utilization and Costs among Children with Complex Chronic Conditions Approaching Death FR481A


Mortality of Extremely Premature Neonates with Severe Intraventricular Hemorrahge FR481B


What Defines High Quality End-of-Life Care for Children with Cancer? A Stakeholder-Driven Qualitative Study FR481C


Self-Reported Irritability in Children with Advanced Cancer: Findings from the PediQUEST Study FR481D


Empowering Patient Participation in Advance Care Planning Discussions within Primary Care: The PREPARE Randomized Clinical Trial TH311A


Advance Care Planning for Patients with Heart Failure: An Exploration of Relational Autonomy in the Context of Future Care Decision Making TH311B


Impact of Advance Care Planning Coaching for Patients with Chronic Kidney Disease: Results from the MY WAY Randomized Clinical Trial TH311C


Impact of Physician Orders for Life-Sustaining Treatment (POLST) Program Maturity Status On The U.S. Nursing Home Resident's Place of Death TH311D


Does Advance Care Planning Actually Reduce Hope in Advanced Cancer? TH322A


The Process and Impact of a Stakeholder Driven Adaptation of the Serious Illness Conversation Guide for AYAs and Parents of Children with Serious Illness TH322B


Development and Validation of the ACP-CAT for Assessing the Quality of Advance Care Planning Communication TH322C


The Patient Dignity Question in Routine Palliative Care Consultation: Implementation and Implications TH322D


Grief and Bereavement Support for Families and Healthcare Professionals as Part of Integrated Care in Pediatric/Neonatal Intensive Care Units around the World TH340A


Prognostic Awareness in Caregivers of Adults with Incurable Cancer TH340B


End-of-Life Experiences for Children with Complex Chronic Conditions and Their Bereaved Parents: Perspectives on Preparedness TH340C


Experiences of Family Caregivers Providing Support to Individuals Who Voluntarily Stop Eating and Drinking (VSED) to Hasten Death TH340D


Hospice Staff Cultural Competence Training: National Hospice Survey Findings TH370A


Decreasing Frequency of Opioid Prescribing on Discharge to Hospice Care TH370B


Cultural Values, Preferences and Goals and of End of Life Care of Family Members of Patients with LIfe-Limiting Illness in Kumasi, Ghana: A Community-Based Study TH370C


African American Communities Speak to Palliative Care Clinicians: Evaluation of an Innovative Community-Developed Communication Skills Training Program TH370D


Engaging Diverse Older Adults with Cognitive Impairment and Their Caregivers in Advance Care Planning: A Pilot Study of the PREPARE Program S701

Scientific Poster Session

Trends and Factors Associated with Place of Death for Individuals with Dementia in the United States from 2003 to 2017 S702


Measuring Engagement in Advance Care Planning: Comparison of a Validated Survey with Chart Review in Kidney Patients S703


Uncharted territory: The unmet needs of patients with advanced lung cancer on targeted therapies S704


Implementation of the BEACON II Comfort Care Order Set in Veterans Affairs (VA) Medical Centers: Palliative Care Consult Team Members' Perspectives S705


Supportive Care - An Innovative Approach For Super-Utilizers in Managed Care Organizations S706


End of Life in the Neurological Intensive Care Unit: Is Extubating to Comfort Care Comfortable? S707


Pain Screening in Older Adults with Delirium S708Scientific Poster Session

Code Status Blues: Do Physicians Order DNR Less Often Since Texas Enacted DNR Law? S709


Managing Opioids, Including Misuse and Addiction, in Patients with Serious Illness in Ambulatory Palliative Care: a qualitative study S710


Preparing Students to Care for the Dying: A Systematic Review of End of Life Care Simulation in Educational Programs S711


Palliative Care and End of Life Outcomes Following High Risk Surgery S712


Symptom Severity in Patients With and Without Cancer Referred to Outpatient Palliative Care S713


Appraisal of Health States Worse than Death in Patients with Acute Stroke S714


Hospice 101: Effects of an Online Didactic Module on Medical Trainees' Knowledge and Perceptions of Hospice S715


Too many appointments: Assessing provider perception of barriers to referral for outpatient palliative care S716


An Artificial Intelligence Algorithm to Identify Documented Symptoms in Patients with Heart Failure who Received Cardiac Resynchronization Therapy S717


Wonders & Worries: A Psychosocial Intervention for Familes with a Parent with Advanced Cancer S718


Expansion of a Hospital Medicine Primary Palliative Care Model: A Joint Social Worker and Nurse Practitioner Team S719


Intensity of End-of-life Care and Advance Care Planning among Patients with Cancer and Multiple Chronic Conditions S720


Time Trends in Opioid Prescribing and Uncontrolled Pain in the Last Month of Life, 2010-2018 S721


Cost Analysis of Pediatric Concurrent Care: Commercial vs Medicaid Payer S722


Project PLACE (Population Level Approaches to Cancer Elimination): Perceptions of Palliative Care Across Diverse Communities S723


Loneliness is Associated With the Symptom Cluster of Pain, Fatigue, and Depression in Older Americans S724


Palliative Care Team Does Good! Good Grief Rounds Facilitated across Disciplines in an Academic Hospital Improves Factors Shown to Alleviate Burnout S725


Palliative Care in the Emergency Department - An Updated Systematic Review S726


Association of Palliative Care Consultations with Goals of Care Conversations and Advance Directive Completion for Patients Admitted with Acute Exacerbations of COPD S727


Resident and Facility Factors Associated with Hospital Visits in Residential Care and Assisted Living Settings: Results from the National Survey of Residential Care Facilities S728


Patient and Family Member Preparedness for Inpatient Discussions about End-of-Life Care S729


mHealth for Geriatric Palliative Care: Provider Perspectives from Diverse Disciplines S730


Elements of Family, Social Relationships, and Caregiving in Palliative Care mHealth: A Scoping Review S731


End-of-Life Care Quality Varies Among Facilities in the Department of Veterans Affairs for Patients with Heart Failure. S732


Myths that Inhibit the Spread of Palliative Care in India S733Scientific Poster Session

When See One, Do One, Teach One Isn't Enough: Assessing Internal Medicine Residents' Code Status Communication Training Needs S734


Integrating Primary Palliative Care into early Neurology resident education S735


Preparedness, Quality of Life, and Burden on Family Caregivers S736


Key Findings of the Structures and Processes of Inpatient Pediatric Palliative Care Programs S737


Rates of Diagnoses Indicating Opioid Dependence after Hospice Live Discharge: A National Study S738


Factors Affecting Sustainability of Quality Improvement Initiatives in Palliative Care: Experiences from Seven Diverse Palliative Care Institutions in India S739

Understanding Oncology Clinicians' Perspective on Integrated Outpatient Palliative Care S740


Distress at End of Life: A Concept Analysis S741Scientific Poster Session

Palliative Medical Management of Inoperable Malignant Bowel Obstruction with 'Triple Therapy': Dexamethasone, Octreotide, and Metoclopramide at a Comprehensive Cancer Center S742


Feasibility and Acceptability of Recruiting Very Young Hospitalized Children Receiving Palliative Care to an Integrative Therapy Study S743


Short-term Mortality Risk for Patients with Stage IV Cancer and Acute Illness Hospitalization S744


Collaborative Oncology Palliative Care for Patients with Stage IV Cancer S745


When is End-of-Life for Patients with Heart Failure? Challenges in Identifying End-of-Life Create Unique Barriers to Quality Care. S746


What's On Your Mind? I Need Help: Identifying Social Media Resources Available to Caregivers of ALS Patients S747


The 'Third Object' in Palliative Care Education: Impact of a Novel Art Museum-Based Curriculum to Foster Reflection, Self-Awareness, and Teamwork among a Multidisciplinary Palliative Care Team S748


Outcomes of Cardiopulmonary Resuscitation in Patients who Experience a Cardiac Arrest while on Intravenous Vasopressor Support S749


Mapping Community Palliative Care: Results of a Three-Year National Study S750


Validation of Quick Cognitive Screen S751Scientific Poster Session

Unequal Access to Hospital Palliative Care in the US: A State-by-State Report Card S752


This Stroke Changed My Life and I need Help: Social Media Resources for Bilingual Caregivers of Stroke Victims S753


Mentored Learning Communities (MLC) in a Regional Interdisciplinary Palliative Care Training Program S754

Analgesia and Sedation for Infants with Chronic Respiratory Failure in a Neonatal Intensive Care Unit (NICU) S755


Symptoms and Suffering at the End of Life for Children and Young Adults with Life-Threatening Complex Chronic Conditions S756


Engaging Palliative Care Patients to Improve Quality Measurement: Preliminary Findings from a Series of Cognitive Interviews S757


The Influence of Brain Metastases on the Central Nervous System Effects of Methylnaltrexone: A Post Hoc Analysis of 3 Randomized, Double-Blind Studies S758


Advanced Practice Palliative Immersion (APPI): An Innovative Educational Modality for Workforce Expansion S759


Applying the Developmental-Contextual Model to Understand Shared Decision-Making during Advance Care Planning: A Qualitative Dyadic Analysis S760


Disparities in Supportive Care Needs Over Time among Minority and Non-Minority Patients with Advanced Lung Cancer S761


Parent Reported Outcomes of Prognostic Communication in Hospitalized Children with Advanced Heart Disease S762


Patterns of Opioid Prescribing Among Patients with Pain and Cardiopulmonary Conditions. S763


Inpatient Palliative Care Consultation is Associated with Lower Hazard of Readmission for Patients with Hepatocellular Carcinoma S764


Palliative Care Consultation Reduces 30-day Readmission Rates for Hospitalized Patients with Malignant Pleural Effusion S765


Use of Antimicrobials at the End of Life (EOL): A Retrospective Cohort Study Analyzing Providers' Reasons for Prescribing Antimicrobials at the EOL, their Benefits and Adverse Effects S766


Hospice Family Caregivers' Use of Audio Diaries: Preliminary Findings S767


Parent Psychological Distress is Associated with Symptoms and Quality of Life for Children and Adolescents Undergoing Hematopoietic Stem Cell Transplantation: An Argument for Early Integration of Palliative Care S768

Discordance between Surrogate Goals of Care and Medical Treatments Received by Hospitalized Older Adults S769


Pediatric Hospice Referral: Exploring the Unrecognized Barriers and Facilitators S770


Dipping the Paddle in Unfamiliar Waters: The Ripple Effects of the First End of Life Communication Training for Resource Poor, Multicultural, Underdeveloped Island Nations of the United States-Affiliated Pacific Islands (USAPIs) S771


Outcomes of Patients with Advanced Heart Failure Receiving Inotropes for Palliative Indication Versus as Bridge to Surgical Therapy S772


Outcomes of Palliative Care Services Embedded in a Hepatology Clinic at a Large Public Hospital S773


Tailoring Advance Care Planning Interventions with Patient Activation S774


It's Not About Winning or Losing: How Physicians Consulting on Seriously Ill Patients Navigate Disagreement with Primary Teams S775


The Epidemiology of Depression at the End of Life: What is the Scope of the Problem and How Can We Better Address It? S776


Providers' Perspectives on Prescribing Long-term Opioid Therapy in Cancer: Qualitative Findings from the United States and Australia S777


Getting a seat at the table: An iterative development process to improve available benchmark data for pediatric palliative care programs S778


Resource Utilization and Burden of Readmissions Among Patients with Palliative Care Encounters - A National Readmission Database Study S779


Older Korean Immigrants' Health Care Goals in Later Life S780Scientific Poster Session

Seriously Ill Patient Perspectives of and Attitudes Toward Discussing Goals-of-Care and Treatment Preferences: A Qualitative Study in a Middle Eastern Country S781


Experiencing Anencephaly: A Parent's Perspective S782Scientific Poster Session

Racial Differences among Patients Receiving Palliative Care Consults S783


Coordinating Assessment of Spiritual Needs: A Cross-Walk of Narrative and Psychometric Assessment Tools Used in Palliative Care S784


One Size Does Not Fit All: Exploring Dose Effect of an Early Palliative Care Intervention for Advanced Heart Failure Patients S786


Multimorbidity and Cancer: Using Electronic Health Record (EHR) Data to Cluster Patients in Multimorbidity Phenotypes. S787


The Impact of Palliative Care on End-of-Life Characteristics in Pediatric Hematopoietic Cell Transplant S788


Creation and Utilization of Electronic Health Record Algorithm and Practice Alert to Identify Patients Eligible for Advance Care Planning Discussion with Primary Care Clinics for the Meta-LARC ACP Study S789


title aahpm id session typeaahpm.org/uploads/2020_papers_and_posters.pdfd-n-arkansas: solving the...

Documents