ACP Decisions

ACP Decisions ACP Decision Patient Education Videos are a series of narrative videos designed to educate patients about advance care planning and end-of-life care options.

Our video tools are carefully crafted after undergoing rigorous review by leading experts in medicine, geriatrics, oncology, cardiology, ethics, and decision-making.

In light of current shortcomings in the hospice benefit, let's explore where home health care can help people not served...
04/04/2023

In light of current shortcomings in the hospice benefit, let's explore where home health care can help people not served by hospice as well as improve the quality of end-of-life care.

Background: Medicare home health could be leveraged to care for those near the end of life (EOL), especially for those who cannot access nor desire the Medicare hospice benefit. It is unknown what role home health currently has either preceding or as an alternative to hospice use. Objective: The aim...

Evidence that yoga protects seniors against frailty. “It’s never too late to start a yoga practice or exercise regimen t...
03/28/2023

Evidence that yoga protects seniors against frailty. “It’s never too late to start a yoga practice or exercise regimen to help with your overall health status in your later years.”

https://news.harvard.edu/gazette/story/2023/03/strong-evidence-that-yoga-protects-against-frailty-in-older-adults/?utm_source=SilverpopMailing&utm_medium=email&utm_campaign=Daily%20Gazette%2020230315%20(1)

A review of 33 studies found that yoga improved known predictors of longevity, including walking speed and leg strength.

Falling has serious consequences for seniors. They are the leading cause of injury and death in Americans age 65 and ol...
03/20/2023

Falling has serious consequences for seniors. They are the leading cause of injury and death in Americans age 65 and older. This provides great tips on how to reduce the risk of falling @

News that Senate Minority Leader Mitch McConnell (R-Ky.) was hospitalized after a fall highlights the increased risk of fall injuries as people age.

There is no single approach to funding long-term care. We could learn a lot from international models & innovative fund...
03/13/2023

There is no single approach to funding long-term care. We could learn a lot from international models & innovative funding mechanisms here in the US @

Compared with the United States, many other high-income nations have adopted more comprehensive approaches to financing long-term care services.

This clearly is not the American Exceptionalism that we are proud of: We are world outliers in terms of health care spe...
03/02/2023

This clearly is not the American Exceptionalism that we are proud of: We are world outliers in terms of health care spending, but we often perform worse on important health and health care measures.

@

This cross-national comparison of health care systems assesses U.S. health spending, outcomes, status, and service use relative to 12 other high-income countries.

Interesting ... Having an academic medical center(s) (AMCs) in a health care market is associated w/ better 30- and 90-d...
02/23/2023

Interesting ... Having an academic medical center(s) (AMCs) in a health care market is associated w/ better 30- and 90-day mortality and healthy days at home for people treated at local non-AMCs as well. "It's possible that AMCs provide local benefits beyond direct patient care" @

This cohort study examines whether market-level academic medical center presence is associated with outcomes for Medicare patients treated at nonteaching hospitals within the same markets.

The unspoken epidemic: Why health care professionals aren’t talking about burnout @
02/13/2023

The unspoken epidemic: Why health care professionals aren’t talking about burnout @

I recently realized that I don't talk about burnout with my colleagues or friends, even though it's a common problem in the health care industry. I've noticed that there seems to be a disconnect between the "no money, no mission" culture of the medical-industrial complex and the needs of the health....

The power of hope in the midst of tragedy. Thank you Dr. Rogers.
01/19/2023

The power of hope in the midst of tragedy. Thank you Dr. Rogers.

Perspective from The New England Journal of Medicine — Hope — Beyond Firearm Trauma

Startling inequities in end-of-life opioid treatment with Black and Hispanic patients receiving lower doses of opioids t...
01/18/2023

Startling inequities in end-of-life opioid treatment with Black and Hispanic patients receiving lower doses of opioids to control pain -- these inequities were found to exist independently of patients’ socioeconomic level. @ https://ascopubs.org/doi/abs/10.1200/JCO.22.01413

Investigators at Harvard-affiliated Dana-Farber Cancer Institute reported Black and Hispanic patients who had poor-prognosis cancer were less likely than white patients to receive opioid medications.

Family dynamics can substantially affect the healthcare decision-making process and should be considered in conversati...
12/14/2022

Family dynamics can substantially affect the healthcare decision-making process and should be considered in conversations. Read our blog to learn more. @ https://www.acpdecisions.org/the-role-of-families-in-advance-care-planning/

Advance care planning (ACP) is an ongoing communication process that involves clarifying and documenting an individual’s wishes, values, preferences, and goals regarding future medical care if they lose the capacity to make healthcare decisions.

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