2024
Top Ten Tips Palliative Care Clinicians Should Know About Caring for Patients Under Guardianships
Bhowmik D, Hurme S, Sandhu J, Jeon J, Mujahid S, Pelissier L, Widera E, Cohen A, Kohn N, Galvez M, Alkire V, Teaster P, Rosa W, Pan C. Top Ten Tips Palliative Care Clinicians Should Know About Caring for Patients Under Guardianships. Journal Of Palliative Medicine 2024 PMID: 39291357, DOI: 10.1089/jpm.2024.0318.Peer-Reviewed Original ResearchPalliative care cliniciansCare cliniciansCoordination of careMedical decision-making processEnd-of-lifeDecision-making processLegal issuesLegal rightsMedical decision-makingPatients' rightsCare deliveryExpertise of physiciansGuardianshipInterprofessional approachProviding careGuardian responsibilitiesCareGuardiansRightsCliniciansAdult patientsDecision-makingCourtLawyersNursesEffect of a Three-Component Geriatrics Bundle on Incident Delirium among Critically Ill Older Adults: A Pilot Clinical Trial.
Ferrante L, Han L, Andrews B, Cohen A, Davis J, Gritsenko D, Lee S, Pisani M, Reed N, Rouse G, Truebig J. Effect of a Three-Component Geriatrics Bundle on Incident Delirium among Critically Ill Older Adults: A Pilot Clinical Trial. Annals Of The American Thoracic Society 2024, 21: 1333-1337. PMID: 38785442, PMCID: PMC11376353, DOI: 10.1513/annalsats.202311-963rl.Peer-Reviewed Original ResearchLiving Alone With Dementia: A Reality Check
Portacolone E, Cohen A. Living Alone With Dementia: A Reality Check. American Journal Of Geriatric Psychiatry 2024, 32: 1322-1324. PMID: 39181836, DOI: 10.1016/j.jagp.2024.07.006.Peer-Reviewed Original ResearchIn-Hospital Delirium and Disability and Cognitive Impairment After COVID-19 Hospitalization
Kaushik R, McAvay G, Murphy T, Acampora D, Araujo K, Charpentier P, Chattopadhyay S, Geda M, Gill T, Kaminski T, Lee S, Li J, Cohen A, Hajduk A, Ferrante L. In-Hospital Delirium and Disability and Cognitive Impairment After COVID-19 Hospitalization. JAMA Network Open 2024, 7: e2419640. PMID: 38954414, PMCID: PMC11220565, DOI: 10.1001/jamanetworkopen.2024.19640.Peer-Reviewed Original ResearchConceptsIn-hospital deliriumChart-Based Delirium Identification InstrumentOlder adultsFunctional disabilityCOVID-19 hospitalizationCognitive impairmentCohort studyAssociated with increased functional disabilityHospitalized older adultsIncreased functional disabilityAssociation of deliriumPostdischarge follow-upRisk of deliriumTertiary care systemFollow-upPresence of cognitive impairmentProspective cohort studyLogistic regression modelsOlder survivorsCare systemIncreasing cognitive impairmentMain OutcomesCOVID-19Hospital dischargePrimary outcomeEffect of a Three-Component Geriatrics Bundle on Incident Delirium Among Critically Ill Older Adults
Ferrante L, Han L, Andrews B, Cohen A, Davis J, Gritsenko D, Lee S, Pisani M, Reed N, Rouse G, Truebig J. Effect of a Three-Component Geriatrics Bundle on Incident Delirium Among Critically Ill Older Adults. 2024, a2721-a2721. DOI: 10.1164/ajrccm-conference.2024.209.1_meetingabstracts.a2721.Peer-Reviewed Original ResearchAssociations of Social Support With Physical and Mental Health Symptom Burden After COVID-19 Hospitalization Among Older Adults
Lee S, McAvay G, Geda M, Chattopadhyay S, Acampora D, Araujo K, Charpentier P, Gill T, Hajduk A, Cohen A, Ferrante L. Associations of Social Support With Physical and Mental Health Symptom Burden After COVID-19 Hospitalization Among Older Adults. The Journals Of Gerontology Series A 2024, 79: glae092. PMID: 38558166, PMCID: PMC11059296, DOI: 10.1093/gerona/glae092.Peer-Reviewed Original ResearchConceptsLow social supportMental health symptomsSocial supportSymptom burdenHealth symptomsFollow-up assessmentCOVID-19 hospitalizationMedical Outcomes Study Social Support SurveyPhysical symptomsAssociation of social supportEdmonton Symptom Assessment SystemPatient Health Questionnaire-4Burden of physical symptomsMental health symptom burdenModified Edmonton Symptom Assessment SystemSocial Support SurveyParticipants' mean ageAssociated with higher burdenSupport SurveyOlder survivorsSymptom managementOlder AdultsMental healthHispanic ethnicityLongitudinal associationsHigh-Intensity Care for Nursing Home Residents with Severe Dementia Hospitalized at the End of Life: A Mixed Methods Study
Cohen A, McDonald W, O'Leary J, Omer Z, Fried T. High-Intensity Care for Nursing Home Residents with Severe Dementia Hospitalized at the End of Life: A Mixed Methods Study. Journal Of The American Medical Directors Association 2024, 25: 871-875. PMID: 38462230, PMCID: PMC11065599, DOI: 10.1016/j.jamda.2024.02.001.Peer-Reviewed Original ResearchNursing home residentsHigh-intensity careSevere dementiaMixed methods studyHome residentsIntensive care unit transferVeterans AffairsIntensive care unitMethods studyHealth system-level factorsDepartment of Veterans AffairsMinimum Data SetEnd of lifeSystem-level factorsNon-Hispanic whitesEnd-of-lifeElectronic medical recordsQualitative content analysisNursing homesLiving willsVA hospitalsHigh-intensity treatmentIdentified veteransNursesPatient preferencesDiagnostic uncertainty and decision‐making in home‐based primary care: A qualitative study of antibiotic prescribing
Datta R, Kiwak E, Fried T, Benjamin A, Iannone L, Krein S, Carter W, Cohen A. Diagnostic uncertainty and decision‐making in home‐based primary care: A qualitative study of antibiotic prescribing. Journal Of The American Geriatrics Society 2024, 72: 1468-1475. PMID: 38241465, PMCID: PMC11090732, DOI: 10.1111/jgs.18778.Peer-Reviewed Original ResearchHome-based primary carePrimary carePromote antibiotic stewardshipHome-based primary care programAntibiotic decision-makingPrimary care programsHome care settingPerspectives of cliniciansConstant comparative methodSemi-structured interviewsDeliver medical careHomebound patientsCare settingsCare programDiagnostic uncertaintyYears of experienceTheoretical saturationMedical careQualitative studyDecision-makingAntibiotic prescribingCareGrounded theoryAntibiotic stewardshipPrescribingPolypharmacy, deprescribing, and trust in the clinician–patient relationship
Thomas C, Cohen A, Mecca M. Polypharmacy, deprescribing, and trust in the clinician–patient relationship. Journal Of The American Geriatrics Society 2024, 72: 1562-1565. PMID: 38232315, PMCID: PMC11090731, DOI: 10.1111/jgs.18756.Peer-Reviewed Original Research
2023
Development of the COMET tool: Caregiver‐reported Outcome Measure for Emergency care Transitions
Gettel C, Galske J, Uzamere I, Serina P, Hernandez‐Bigos K, Mane S, Chen K, Ottilie‐Kovelman S, Sandoval J, Venkatesh A, Cohen A, Monin J, Fried T, Hwang U. Development of the COMET tool: Caregiver‐reported Outcome Measure for Emergency care Transitions. Alzheimer's & Dementia 2023, 19 DOI: 10.1002/alz.074213.Peer-Reviewed Original ResearchCare transitionsOutcome measuresCare partnersED discharge processPhase 3Results Phase 1Phase 2Health care systemPhase 1Candidate itemsAcute illnessED encountersEmergency departmentCare considerationsPhase 4Outcome assessmentConclusion DevelopmentScreening toolCare systemResearch team membersContent validityPoor communicationEDMultidisciplinary stakeholdersDelphi approachSevere Neighborhood Deprivation and Symptom Burden Among Older Adults Following COVID-19 Infection
Falvey J, McAvay G, Hajduk A, Cohen A, Ferrante L. Severe Neighborhood Deprivation and Symptom Burden Among Older Adults Following COVID-19 Infection. 2023, a2756-a2756. DOI: 10.1164/ajrccm-conference.2023.207.1_meetingabstracts.a2756.Peer-Reviewed Original ResearchNavigating the COVID‐19 pandemic together: Discussions between persons with early‐stage dementia and their adult children
Ali T, Mroz E, Valeika S, Mendez E, Cohen A, Monin J. Navigating the COVID‐19 pandemic together: Discussions between persons with early‐stage dementia and their adult children. International Journal Of Geriatric Psychiatry 2023, 38: e5905. PMID: 36929513, PMCID: PMC10590087, DOI: 10.1002/gps.5905.Peer-Reviewed Original Research
2020
Older Adults without Desired Surrogates in a Nationally Representative Sample
Cohen AB, Costello DM, OʼLeary JR, Fried TR. Older Adults without Desired Surrogates in a Nationally Representative Sample. Journal Of The American Geriatrics Society 2020, 69: 114-121. PMID: 32898285, PMCID: PMC7854949, DOI: 10.1111/jgs.16813.Peer-Reviewed Original ResearchConceptsNuclear familiesOlder adultsNational Social LifeNationally Representative SampleSocial lifeCommunity-dwelling older adultsRepresentative sampleSocial connectednessCross-sectional studyHealth care agentCare agentsCognitive impairmentLogistic regressionLow indicatorsAdultsRespondentsConfidantsIntact capacityMedical decisions
2017
Avoiding Hospitalizations From Nursing Homes for Potentially Burdensome Care: Results of a Qualitative Study
Cohen AB, Knobf MT, Fried TR. Avoiding Hospitalizations From Nursing Homes for Potentially Burdensome Care: Results of a Qualitative Study. JAMA Internal Medicine 2017, 177: 137-139. PMID: 27893891, PMCID: PMC5345121, DOI: 10.1001/jamainternmed.2016.7128.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 situationsCourtGuardianshipLawRightsPatients With Next-of-Kin Relationships Outside the Nuclear Family
Cohen AB, Trentalange M, Fried T. Patients With Next-of-Kin Relationships Outside the Nuclear Family. JAMA 2015, 313: 1369-1370. PMID: 25849183, PMCID: PMC4678873, DOI: 10.1001/jama.2015.2409.Peer-Reviewed Original Research
2014
Overliving
Cohen AB. Overliving. The Hastings Center Report 2014, 44: 5-5. PMID: 25231653, PMCID: PMC4197840, DOI: 10.1002/hast.348.Peer-Reviewed Original Research