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Article ; Online: Transitions of care for advanced cancer in post-acute and long-term care.

Burke, Olivia / Levine, Stacie K / Mir, Nabiel / Gleason, Lauren J

Journal of the American Geriatrics Society

2023 Volume 71, Issue 5, Page(s) 1680–1684

MeSH term(s)	Humans ; Long-Term Care ; Nursing Homes ; Neoplasms/therapy
Language	English
Publishing date	2023-02-15
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	80363-7
ISSN	1532-5415 ; 0002-8614
ISSN (online)	1532-5415
ISSN	0002-8614
DOI	10.1111/jgs.18291
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Article ; Online: Perceived Facilitators and Barriers to Implementing Culturally Inclusive Diets into Hospitals and Long-Term Care Facilities.

Raj, Minakshi / Oleschuk, Merin / Chapman-Novakofski, Karen / Levine, Stacie K

Journal of the American Medical Directors Association

2023 Volume 24, Issue 10, Page(s) 1503–1507

Abstract: Objectives: To identify perceived facilitators and barriers to implementing culturally inclusive foods into hospitals and long-term care (LTC) from the perspectives of registered dietitians and food service directors.: Design: Cross-sectional survey.! ...

Abstract	Objectives: To identify perceived facilitators and barriers to implementing culturally inclusive foods into hospitals and long-term care (LTC) from the perspectives of registered dietitians and food service directors. Design: Cross-sectional survey. Setting and participants: Online nationwide survey of registered dietitians and food service directors working in hospitals or LTC. Methods: We analyzed and compared participants' perceived barriers to implementing culturally inclusive foods in hospitals and LTC, assessed through a question in which we provided respondents with 13 different barriers and asked them to report the top 3. Then, we conducted a qualitative analysis of perceived facilitators, which respondents described in open-ended comments. Results: The most common perceived barriers to implementing culturally inclusive foods were cost of ingredients (44%) and staff cultural knowledge and competence (44%). LTC respondents perceived barriers including (1) willingness of staff to adopt new practices, (2) time, (3) staff burnout, and (4) local/facility-level regulatory barriers more frequently than hospital respondents. Administrative buy-in, staff diversity, and patient considerations (eg, feedback and demand) were perceived facilitators to implementing culturally inclusive foods. Conclusions and implications: Implementing culturally inclusive foods into hospitals and LTC requires administrative buy-in, willingness to change, and resources including staff diversity and cultural knowledge and awareness. Incorporating patient feedback and preferences into decisions related to dietary offerings could further motivate menu modifications. Further examination of organizational and state policies regulating diet, particularly in LTC settings, is necessary to understand both how to implement culturally inclusive foods and further, to inform investigation of health outcomes (physical and mental) associated with increasing culturally inclusive food offerings in these facilities.
MeSH term(s)	Humans ; Long-Term Care ; Cross-Sectional Studies ; Skilled Nursing Facilities ; Hospitals ; Diet
Language	English
Publishing date	2023-05-26
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2171030-2
ISSN	1538-9375 ; 1525-8610
ISSN (online)	1538-9375
ISSN	1525-8610
DOI	10.1016/j.jamda.2023.04.018
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Zs.A 5971: Show issues

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Article ; Online: Barriers to Care for Nursing Home Residents With Substance Use Disorders: A Qualitative Study.

Yang, Meredith / Beiting, Kimberly J / Levine, Stacie

Journal of addiction medicine

2022 Volume 17, Issue 2, Page(s) 155–162

Abstract: Objectives: Over the past decade, the numbers of older adults with opioid and substance use disorders (OUD/SUD) have increased. As this population enters nursing homes (NHs) in increasing numbers, it is crucial to consider their capacity to manage ... ...

Abstract	Objectives: Over the past decade, the numbers of older adults with opioid and substance use disorders (OUD/SUD) have increased. As this population enters nursing homes (NHs) in increasing numbers, it is crucial to consider their capacity to manage issues related to OUD/SUD. This study aimed to examine current NH protocols for care coordination of residents with OUD/SUD as well as facility-related barriers to providing care to this vulnerable population within the NH. Methods: Twenty-four semistructured interviews were conducted with NH staff including directors of nursing, administrators, nurses, and physicians in July 2020. Staff were recruited from 11 different post-acute care and long-term care facilities located in urban and suburban communities of Chicago. Interviews were conducted virtually (via teleconference platform or by telephone) and subsequently coded using ATLAS.ti 8 (ATLAS.ti Scientific Software Development GmbH, Berlin, Germany) using constant comparative method. Results: Qualitative analyses identified 3 themes around NH barriers to care for residents with SUD/OUD: (1) staff preparedness, (2) staff perceptions of addiction, and (3) overall lack of resources. Results revealed a strong need for the development of consistent policies, as well as standardized, educational interventions for NH staff that target SUD/OUD management in this vulnerable population. Conclusions: The evaluation and impact of persons with SUD/OUD entering NHs are an important topic that requires further study. More resources and staff training are necessary to ensure that residents with SUD/OUD have access to appropriate care within these settings.
MeSH term(s)	Humans ; Aged ; Nursing Homes ; Substance-Related Disorders/therapy ; Health Services Accessibility ; Chicago
Language	English
Publishing date	2022-08-30
Publishing country	Netherlands
Document type	Journal Article
ISSN	1935-3227
ISSN (online)	1935-3227
DOI	10.1097/ADM.0000000000001061
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Article ; Online: The Design and Early Results of a Structured Longitudinal Training Program for Undergraduate Students to Increase Diversity in Aging-Research.

Prochaska, Micah T / Bogue, Kelsey / Williams, Shellie / Levine, Stacie / Zhang, Hui / Tate, Alex / Arora, Vineet / Meltzer, David

International journal of aging & human development

2024 , Page(s) 914150241231183

Abstract: Background: ...

Abstract	Background:
Language	English
Publishing date	2024-02-06
Publishing country	United States
Document type	Journal Article
ZDB-ID	187072-5
ISSN	1541-3535 ; 0091-4150
ISSN (online)	1541-3535
ISSN	0091-4150
DOI	10.1177/00914150241231183
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Zs.A 1113: Show issues

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Article ; Online: How do I best treat pain in my older patient with cancer?

Malec, Monica / Levine, Stacie

Journal of geriatric oncology

2019 Volume 10, Issue 6, Page(s) 841–844

MeSH term(s)	Aged ; Analgesics, Opioid/administration & dosage ; Analgesics, Opioid/adverse effects ; Cancer Pain/drug therapy ; Delirium/chemically induced ; Delirium/prevention & control ; Dose-Response Relationship, Drug ; Geriatric Assessment ; Humans ; Medical Oncology/methods ; Neoplasms/therapy ; Nerve Block/adverse effects ; Pain Management/methods ; Pain Measurement/methods
Chemical Substances	Analgesics, Opioid
Language	English
Publishing date	2019-06-03
Publishing country	Netherlands
Document type	Journal Article ; Review
ZDB-ID	2556813-9
ISSN	1879-4076 ; 1879-4068
ISSN (online)	1879-4076
ISSN	1879-4068
DOI	10.1016/j.jgo.2019.05.009
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Article ; Online: Creating Coherent Strategies to Combat the Crises of Opioid Scarcity and Abuse.

Hantel, Andrew / Levine, Stacie / Siegler, Mark

Journal of clinical oncology : official journal of the American Society of Clinical Oncology

2018 Volume 36, Issue 25, Page(s) 2575–2577

MeSH term(s)	Analgesics, Opioid/supply & distribution ; Humans ; Opioid-Related Disorders/prevention & control ; Pain Management/methods
Chemical Substances	Analgesics, Opioid
Language	English
Publishing date	2018-07-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	604914-x
ISSN	1527-7755 ; 0732-183X
ISSN (online)	1527-7755
ISSN	0732-183X
DOI	10.1200/JCO.2018.79.1079
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Zs.A 1847: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 650: Show issues

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Article ; Online: Medication management in older adults and interprofessional education: A needs assessment.

Kostas, Tia / Knoebel, Randall / Levine, Stacie

Gerontology & geriatrics education

2018 Volume 41, Issue 1, Page(s) 100–108

Abstract: Elderly, multi-morbid patients are at high risk for suffering adverse drug events. Safe medication management is a key process in preventing these adverse events, and requires interprofessional teamwork. We performed a needs assessment survey of ... ...

Abstract	Elderly, multi-morbid patients are at high risk for suffering adverse drug events. Safe medication management is a key process in preventing these adverse events, and requires interprofessional teamwork. We performed a needs assessment survey of graduating medical students and faculty to evaluate student training in medication management, in particular students' preparedness in the three minimum geriatrics competencies pertaining to medication management, interprofessional educational opportunities, and optimal learning methods. Response rates were 45/105 (43%) for students and 38/93 (41%) for faculty. The majority of students felt that they did not receive sufficient training in medication management in older adults. Faculty either agreed with students or were unsure whether students received sufficient training. Neither students nor faculty felt that students were extremely prepared to carry out the three minimum geriatrics competencies at the time of medical school graduation. Students and faculty identified direct patient care experiences as the optimal learning method, and inappropriate medications as the highest priority topic. Students and faculty felt that students do not receive sufficient interprofessional educational opportunities. The results of this study are currently being used to create customized interprofessional educational experiences for medical students related to medication management in older adults.
MeSH term(s)	Adult ; Aged ; Attitude of Health Personnel ; Education, Medical, Undergraduate/methods ; Faculty, Medical/psychology ; Female ; Geriatrics/education ; Humans ; Interprofessional Relations ; Male ; Medication Therapy Management/education ; Middle Aged ; Needs Assessment ; Students, Medical/psychology ; Surveys and Questionnaires
Language	English
Publishing date	2018-06-21
Publishing country	England
Document type	Journal Article ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	605726-3
ISSN	1545-3847 ; 0270-1960
ISSN (online)	1545-3847
ISSN	0270-1960
DOI	10.1080/02701960.2018.1487297
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Zs.A 1944: Show issues

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Article ; Online: Palliative Care and Characterization of Symptoms in Patients Undergoing Cytoreductive Surgery/Hyperthermic Intraperitoneal Chemotherapy.

Sneider, Abigail P / Dhiman, Ankit / Sood, Divya / Ong, Cecilia / Tun, Sandy / Malec, Monica / Levine, Stacie / Turaga, Kiran K / Eng, Oliver S

The Journal of surgical research

2022 Volume 283, Page(s) 1154–1160

Abstract: Introduction: Palliative care for advanced cancer patients has been associated with improvements in symptom management and quality of life (QoL). Patients with peritoneal metastases undergoing cytoreductive surgery (CRS) and hyperthermic intraperitoneal ...

Abstract	Introduction: Palliative care for advanced cancer patients has been associated with improvements in symptom management and quality of life (QoL). Patients with peritoneal metastases undergoing cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) often report symptoms adversely affecting QoL. We characterized and compared symptoms elucidated by palliative care versus surgical providers in this setting. Methods: CRS/HIPEC patients who saw both surgical oncology and palliative care providers from 2016 to 2020 at a tertiary care center were identified from a retrospective database. Documentation of QoL-associated symptoms in surgical oncology and palliative care visits was recorded and analyzed. Results: A total of 118 patients were included in this study. The most common primary histologies were appendiceal (36.4%) and colorectal (28.8%). Symptoms most frequently reported by palliative care were pain (60.2%) and fatigue (54.2%). The median number of symptoms documented was three (2, 5) in palliative care notes and two (0, 3) in surgical oncology notes (P < 0.001). Palliative care providers documented most symptoms statistically more frequently than surgical oncology providers. Conclusions: Patients who underwent CRS/HIPEC experienced various QoL-associated symptoms. Palliative care providers elicited more symptoms than surgical oncology providers. Additional studies are needed to explore the impact on outcomes of perioperative palliative care in this challenging patient population.
MeSH term(s)	Humans ; Hyperthermic Intraperitoneal Chemotherapy ; Quality of Life ; Colorectal Neoplasms/pathology ; Palliative Care ; Cytoreduction Surgical Procedures/adverse effects ; Retrospective Studies ; Peritoneal Neoplasms/therapy ; Peritoneal Neoplasms/secondary ; Follow-Up Studies ; Hyperthermia, Induced/adverse effects ; Combined Modality Therapy ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Survival Rate
Language	English
Publishing date	2022-12-17
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	80170-7
ISSN	1095-8673 ; 0022-4804
ISSN (online)	1095-8673
ISSN	0022-4804
DOI	10.1016/j.jss.2022.11.061
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Zs.A 178: Show issues

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Article ; Online: Racial and ethnic disparity in palliative care and hospice use.

Johnson, Tricia / Walton, Surrey / Levine, Stacie / Fister, Erik / Baron, Aliza / O'Mahony, Sean

The American journal of managed care

2020 Volume 26, Issue 2, Page(s) e36–e40

Abstract: Objectives: Prior research has demonstrated differences across race and ethnicity, as well as across geographic location, in palliative care and hospice use for patients near the end of life. However, there remains inconsistent evidence regarding ... ...

Abstract	Objectives: Prior research has demonstrated differences across race and ethnicity, as well as across geographic location, in palliative care and hospice use for patients near the end of life. However, there remains inconsistent evidence regarding whether these disparities are explained by hospital-level practice variation. The goals of this study were to evaluate whether inpatient palliative care consultation use and discharge to hospice differed by race/ethnicity and whether hospital-level variations explained these differences. Study design: Retrospective, cross-sectional study. Methods: This study evaluated 5613 patients who were discharged to hospice or died during their hospital stay between 2012 and 2014 in 4 urban hospitals with an inpatient palliative care service. The main outcomes were receipt of an inpatient palliative care consultation and discharge to hospice. Results: The sample was 43% white, 44% African American, and 13% Hispanic. After adjusting for patient characteristics and hospital site, race/ethnicity was not significantly associated with receipt of inpatient palliative care consultation. Hispanic race/ethnicity was associated with a higher likelihood of discharge to hospice (odds ratio, 1.22; P = .036), and inpatient palliative care consultation was associated with 4 times higher likelihood of discharge to hospice (P <.001). Hospital site was also associated with both receipt of inpatient palliative care consultation and discharge to hospice. Conclusions: Our results illustrate significant variation across hospitals in palliative care consultation use and discharge to hospice. No significant racial/ethnic disparities in the use of either palliative care or hospice at the end of life were found within hospitals.
MeSH term(s)	African Americans/statistics & numerical data ; Chicago/ethnology ; Cross-Sectional Studies ; Ethnic Groups/statistics & numerical data ; European Continental Ancestry Group/statistics & numerical data ; Female ; Hispanic Americans/statistics & numerical data ; Hospice Care ; Humans ; Inpatients/statistics & numerical data ; Male ; Palliative Care ; Patient Discharge ; Referral and Consultation ; Retrospective Studies ; Urban Population
Language	English
Publishing date	2020-02-01
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2035781-3
ISSN	1936-2692 ; 1088-0224 ; 1096-1860
ISSN (online)	1936-2692
ISSN	1088-0224 ; 1096-1860
DOI	10.37765/ajmc.2020.42399
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Zs.A 5353: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MG 86: Show issues

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Article ; Online: Improving medical and pharmacy student confidence in medication management and attitudes about interprofessional collaboration by utilizing an interprofessional module.

Kostas, Tia / Thomas, Jiz / Thompson, Katherine / Poston, Jason / Levine, Stacie

Journal of interprofessional care

2018 Volume 32, Issue 6, Page(s) 790–793

Abstract: Adverse drug events are common and often preventable. Educating the interprofessional workforce to appropriately manage medications as part of a team is a priority. An interprofessional medication management module for graduating medical and pharmacy ... ...

Abstract	Adverse drug events are common and often preventable. Educating the interprofessional workforce to appropriately manage medications as part of a team is a priority. An interprofessional medication management module for graduating medical and pharmacy students was developed. The module was case-based and co-led by physicians and pharmacists. Students completed pre- and post-module surveys regarding their attitudes about interprofessional collaboration, confidence in managing medications, and self-reported ability to perform the tasks laid out in the minimum geriatrics competencies as a result of the module. Eighteen medical and 13 pharmacy students participated over a two-year period. There was statistically significant improvement in students' attitudes about interprofessional collaboration with regards to understanding their role and the role of others on the interprofessional team, and about teamwork between medical and pharmacy students. There was also statistically significant improvement in confidence with regards to the 3 medication management competencies after completion of the module. The vast majority of students agreed that the module improved their self-reported ability to manage medications. An interprofessional medication management module is an effective way to improve medical and pharmacy students' attitudes about interprofessional collaboration and confidence in medication management.
Language	English
Publishing date	2018-08-24
Publishing country	England
Document type	Journal Article
ZDB-ID	1099758-1
ISSN	1469-9567 ; 0884-3988 ; 1356-1820
ISSN (online)	1469-9567
ISSN	0884-3988 ; 1356-1820
DOI	10.1080/13561820.2018.1512957
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