Shelli Feder, PhD, APRN, FNP (BC), ACHPN
Assistant ProfessorCards
About
Research
Publications
2024
Palliative Pharmacotherapy for Cardiovascular Disease: A Scientific Statement From the American Heart Association.
Di Palo K, Feder S, Baggenstos Y, Cornelio C, Forman D, Goyal P, Kwak M, McIlvennan C. Palliative Pharmacotherapy for Cardiovascular Disease: A Scientific Statement From the American Heart Association. Circulation Cardiovascular Quality And Outcomes 2024, e000131. PMID: 38946532, DOI: 10.1161/hcq.0000000000000131.Peer-Reviewed Original ResearchQuality of lifeCardiovascular diseaseExcess health care useGoal-oriented careHealth care useShared decision-makingEnhance quality of lifePalliative pharmacotherapyMedical managementScientific statementEvidence-based medical therapyPulmonary arterial hypertensionSpectrum of cardiovascular diseasesAmerican Heart AssociationCoronary heart diseaseEnd-stage heart failurePalliative medicineCare usePalliative approachArterial hypertensionGuideline-directedMedical therapyDevice therapyHeart failureWorsening symptomsOpportunities to Improve End-of-Life Care Quality among Patients with Short Terminal Admissions
Sullivan D, Jones K, Wachterman M, Griffin H, Kinder D, Smith D, Thorpe J, Feder S, Ersek M, Kutney-Lee A. Opportunities to Improve End-of-Life Care Quality among Patients with Short Terminal Admissions. Journal Of Pain And Symptom Management 2024 PMID: 38810950, DOI: 10.1016/j.jpainsymman.2024.05.020.Peer-Reviewed Original ResearchEnd-of-lifeLife-limiting conditionsTerminal admissionPalliative careEnd-of-life care quality indicatorsEnd-of-life care qualityEnd-of-life careImprove end-of-lifeDepartment of Veterans Affairs (VAVA inpatient settingsVeterans Affairs (VACare quality indicatorsNon-cancer conditionsCare qualityInpatient decedentsHealthcare useVeteran decedentsAcute careNon-VAInpatient settingVA hospitalsShort admissionsCareLonger admissionsQuality indicatorsFinding the Difference Makers: Revealing Necessary and Sufficient Conditions for Palliative Care Outcomes Through Coincidence Analysis (ME302)
Feder S, Zhan Y, Miech E. Finding the Difference Makers: Revealing Necessary and Sufficient Conditions for Palliative Care Outcomes Through Coincidence Analysis (ME302). Journal Of Pain And Symptom Management 2024, 67: e847. DOI: 10.1016/j.jpainsymman.2024.02.490.Peer-Reviewed Original ResearchPalliative careHospice careComplex interventionsDelivery of palliative careReceipt of palliative carePresence of multiple conditionsBackground Palliative carePalliative care deliveryPalliative care researchDepartment of Veterans AffairsPalliative care outcomesImplementation science studyHealth services researchMedical CenterVA Medical CenterCare deliveryCare outcomesMultiple conditionsPeer-reviewed literatureCare researchImplementation scienceVeterans AffairsHospiceServices researchCareThe Future of State Workforce Policy in Palliative Care
Sinclair S, Feder S, Rusyn E. The Future of State Workforce Policy in Palliative Care. Journal Of Pain And Symptom Management 2024, 67: e701-e702. DOI: 10.1016/j.jpainsymman.2024.02.175.Peer-Reviewed Original ResearchPalliative care workforcePalliative care policyCare workforcePalliative careWorkforce policyCare policySkill buildingPalliative care principlesPrimary careClinician shortagesCare principlesHealthcare professionalsBehavioral healthHealth AffairsWorkforce developmentCare paymentsWorkforce concernsHealth fieldState-level initiativesCareState-level policiesLoan forgivenessHealthWorkforceParticipantsVariation in Uptake of Specialist Palliative Care Among People with Advanced Heart Failure Across VA Medical Centers
Zhan Y, Han L, Abel E, Akgun K, Redeker N, Feder S. Variation in Uptake of Specialist Palliative Care Among People with Advanced Heart Failure Across VA Medical Centers. Journal Of Pain And Symptom Management 2024, 67: e551-e552. DOI: 10.1016/j.jpainsymman.2024.02.339.Peer-Reviewed Original ResearchSpecialist palliative careVA Medical CenterDepartment of Veterans AffairsPalliative careVeterans AffairsRandom intercept multilevel logistic regressionPalliative care deliveryDelivery characteristicsMedical CenterMultilevel logistic regressionCare deliveryICD-9/10 codesAdvanced heart failureRetrospective cohort studyHealth careModifiable factorsCareTeam staffingCohort studyHeart failureLogistic regressionImplementation effortsIdentified factorsICD-9/10Study findingsInterventions to promote readiness for advance care planning: A systematic review and meta-analysis
Tan M, Tang S, Feder S, Xiao J, Huang C, Cook A, Johnson C, Ding J. Interventions to promote readiness for advance care planning: A systematic review and meta-analysis. International Journal Of Nursing Studies 2024, 156: 104778. PMID: 38761437, DOI: 10.1016/j.ijnurstu.2024.104778.Peer-Reviewed Original ResearchAdvance care planningAdvance care planning interventionCare planning interventionCare planningStatistically significant effect of interventionMeta-analysisJoanna Briggs Institute critical appraisal toolsPlanning interventionsBackground Advance care planningSignificant effect of interventionMeta-analysesStages of behavior changeFuture health policyCritical appraisal toolsStandard medical servicesEffectiveness of interventionsPooled effect sizeRandomized controlled trialsMeta-analysis of randomized controlled trialsAppraisal ToolIntervention designHealth policyMedical servicesPromote readinessSystematic reviewVariation in Specialist Palliative Care Reach and Associated Factors Among People With Advanced Heart Failure in the Department of Veterans Affairs
Feder S, Han L, Zhan Y, Abel E, Akgün K, Fried T, Ersek M, Redeker N. Variation in Specialist Palliative Care Reach and Associated Factors Among People With Advanced Heart Failure in the Department of Veterans Affairs. Journal Of Pain And Symptom Management 2024, 68: 22-31.e1. PMID: 38561132, PMCID: PMC11168897, DOI: 10.1016/j.jpainsymman.2024.03.022.Peer-Reviewed Original ResearchOutpatient specialist palliative careSpecialist palliative careVeterans Affairs Medical CenterPalliative careSpecialist palliative care consultationRandom intercept multilevel logistic regressionDepartment of Veterans AffairsMultilevel logistic regressionAffairs Medical CenterClinical practice guidelinesICD-9/10 codesAdvanced heart failureRetrospective cohort studyVeterans AffairsOutpatient palliativeOutpatient deliveryPractice guidelinesCohort studyLogistic regressionCardiology involvementDelivery characteristicsAssociated factorsMedical CenterIdentified factorsICD-9/10
2023
USING MULTI-LEVEL MODELING TO EXAMINE RACIAL DISPARITIES IN PALLIATIVE CARE AMONG OLDER ADULTS WITH HEART FAILURE
Han L, Abel E, Zhan Y, Akgün K, Feder S. USING MULTI-LEVEL MODELING TO EXAMINE RACIAL DISPARITIES IN PALLIATIVE CARE AMONG OLDER ADULTS WITH HEART FAILURE. Innovation In Aging 2023, 7: 1149-1150. PMCID: PMC10736640, DOI: 10.1093/geroni/igad104.3689.Peer-Reviewed Original ResearchAdvanced heart failureVeterans Affairs Medical CenterSpecialist palliative careHeart failureOlder adultsWhite raceGuideline-concordant careICD-9/10 codesService delivery characteristicsAHF cohortSPC servicesPalliative careBlack raceMedical CenterLogistic regressionSocioeconomic disparitiesFacility characteristicsRacial disparitiesPersistent disparitiesAdultsRandom interceptDelivery characteristicsConventional logistic regressionCareEquitable accessChanges in Restricting Symptoms after Critical Illness among Community-Living Older Adults.
Jain S, Han L, Gahbauer E, Leo-Summers L, Feder S, Ferrante L, Gill T. Changes in Restricting Symptoms after Critical Illness among Community-Living Older Adults. American Journal Of Respiratory And Critical Care Medicine 2023, 208: 1206-1215. PMID: 37769149, PMCID: PMC10868351, DOI: 10.1164/rccm.202304-0693oc.Peer-Reviewed Original ResearchConceptsNeighborhood-level socioeconomic disadvantageCritical illnessIntensive care unitHospital dischargeCommunity-living older adultsOlder adultsOlder ICU survivorsPost-ICU careSocioeconomic disadvantageProspective longitudinal studyQuality of lifeICU admissionICU survivorsCare unitFunctional recoverySymptom managementMultiple symptomsThird monthThree monthsSymptomsIllnessRestricted activityVulnerable subgroupsFirst monthMonthsA comparison of end‐of‐life care quality for Veterans receiving hospice in VA nursing homes and community nursing homes
Wachterman M, Smith D, Carpenter J, Griffin H, Thorpe J, Feder S, Hoelter J, Ersek M, Shreve S, Kutney‐Lee A. A comparison of end‐of‐life care quality for Veterans receiving hospice in VA nursing homes and community nursing homes. Journal Of The American Geriatrics Society 2023, 72: 59-68. PMID: 37947240, PMCID: PMC10842969, DOI: 10.1111/jgs.18606.Peer-Reviewed Original ResearchCommunity nursing homesVeterans Health AdministrationBereaved Family SurveyElectronic medical recordsVA CLCsNursing homesEOL careAdjusted proportionVA electronic medical recordsVA nursing homesLife care qualityDays of lifeQuality of endNumber of veteransBFS itemsSecondary outcomesPrimary outcomeSymptom managementOverall careMedical recordsRetrospective analysisHospice careLife careHealth AdministrationVA Community
Links & Media
News
- January 08, 2024
Use of Palliative Care for ICU Patients, Families
- October 25, 2023
Assessing Symptoms in Older Adults After Critical Illness
- November 16, 2022
Discoveries & Impact (November 2022)
- April 22, 2020Source: Yale School of Nursing
Palliative Care Principles Can Ease COVID-19 Challenges