2022
Guardianship Before and Following Hospitalization
Moye J, Cohen AB, Stolzmann K, Auguste EJ, Catlin CC, Sager ZS, Weiskittle RE, Woolverton CB, Connors HL, Sullivan JL. Guardianship Before and Following Hospitalization. HEC Forum 2022, 35: 271-292. PMID: 35072897, PMCID: PMC10281591, DOI: 10.1007/s10730-022-09469-9.Peer-Reviewed Original ResearchConceptsLength of stayHospital lengthComparison groupDate of admissionVeterans Healthcare AdministrationRetrospective cohortMedical complicationsCourt-appointed guardianNeuropsychiatric comorbiditiesUnnecessary hospitalizationStayPatientsEthics CommitteeMean lengthComorbiditiesHospitalizationGuardianship statusAppointmentsHealthcare administrationSeparate analysisGroupDaysPersonsGuardiansComplications
2020
End-of-Life Care for Persons Under Guardianship
Moye J, Stolzmann K, Auguste EJ, Cohen AB, Catlin CC, Sager ZS, Weiskittle RE, Woolverton CB, Connors HL, Sullivan JL. End-of-Life Care for Persons Under Guardianship. Journal Of Pain And Symptom Management 2020, 62: 81-90.e2. PMID: 33212143, PMCID: PMC8124075, DOI: 10.1016/j.jpainsymman.2020.11.008.Peer-Reviewed Original ResearchMeSH KeywordsHospice CareHumansIntensive Care UnitsLegal GuardiansMassachusettsPalliative CareTerminal CareConceptsPalliative care consultationVeterans Health AdministrationLife careCare consultationsHealth AdministrationIntensive care unit careIntensive care unitTransitions of careVeterans Healthcare AdministrationQuality of endHealth care challengesSurrogate decision makersSample of personsICU admissionUnit careCare unitAdverse outcomesPalliative careExtended lengthQuality endCareComparison groupHealth carePatient narrativesAdministrationGuardianship and End‐of‐Life Care for Veterans with Dementia in Nursing Homes
Cohen AB, Han L, OʼLeary JR, Fried TR. Guardianship and End‐of‐Life Care for Veterans with Dementia in Nursing Homes. Journal Of The American Geriatrics Society 2020, 69: 342-348. PMID: 33170957, PMCID: PMC7902349, DOI: 10.1111/jgs.16900.Peer-Reviewed Original ResearchConceptsDays of lifeHospital deathHigh-intensity treatmentMechanical ventilationTube placementHome residentsCardiopulmonary resuscitationNursing homesIntensive care unit admissionMinimum Data Set assessmentsCare unit admissionRetrospective cohort studyNursing home residentsHigh-intensity endMore nursing homesUnit admissionICU admissionCohort studySecondary outcomesPrimary outcomeHospital transferLife hospitalizationsSevere dementiaLife careDementia severity
2019
End‐of‐Life Decision Making and Treatment for Patients with Professional Guardians
Cohen AB, Benjamin AZ, Fried TR. End‐of‐Life Decision Making and Treatment for Patients with Professional Guardians. Journal Of The American Geriatrics Society 2019, 67: 2161-2166. PMID: 31301189, PMCID: PMC6800801, DOI: 10.1111/jgs.16072.Peer-Reviewed Original ResearchConceptsHigh-intensity treatmentPatient preferencesHospice careVeterans Affairs Connecticut Healthcare SystemUnderwent cardiopulmonary resuscitationRetrospective cohort studyIntensive care unitLast monthAdvance care planningLife decisionsDecedent patientsLife decision makingChart reviewCohort studyCare unitTreatment outcomesCardiopulmonary resuscitationOutpatient facilitiesLife careCare planningVA recordsVA facilitiesProfessional guardiansPatientsOlder adultsCharacteristics of Patients With Professional Guardians in the Department of Veterans Affairs Health Care System.
Cohen AB, Trentalange M, Benjamin AZ, Fried TR. Characteristics of Patients With Professional Guardians in the Department of Veterans Affairs Health Care System. JAMA Internal Medicine 2019, 179: 107-108. PMID: 30398533, PMCID: PMC6500761, DOI: 10.1001/jamainternmed.2018.4849.Peer-Reviewed Original Research
2015
Guardianship and End-of-Life Decision Making
Cohen AB, Wright MS, Cooney L, Fried T. Guardianship and End-of-Life Decision Making. JAMA Internal Medicine 2015, 175: 1687-1691. PMID: 26258634, PMCID: PMC4683611, DOI: 10.1001/jamainternmed.2015.3956.Peer-Reviewed Original ResearchConceptsLegal casesProfessional guardiansLife decisionsRecent legal casesImpaired decision-making capacityDecision-making capacityLife-sustaining treatmentJudicial reviewGuardian's authoritySurrogate decision makersVulnerable personsComprehensive standardsGuardiansAuthoritiesStatutesBroader frameworkPreexisting relationshipDecisionsLife treatmentMedical decisionsSuch situationsCourtGuardianshipLawRights