![]() The study is divided into two phases: a pilot phase, to ensure feasibility in two sites, and an implementation and evaluation phase, where we implement the intervention and test the effectiveness in 33 EDs over 2 years. The intervention includes four core components: (1) evidence-based, multidisciplinary primary palliative care education (2) simulation-based workshops (3) clinical decision support and (4) audit and feedback. This is the protocol for a pragmatic, cluster-randomised stepped wedge trial to test the effectiveness of PRIM-ER in 35 EDs across the USA. ![]() This study aims to implement and evaluate Primary Palliative Care for Emergency Medicine (PRIM-ER) on ED disposition, healthcare utilisation and survival in older adults with serious illness. Palliative care interventions in the ED capture high-risk patients at a time of crisis and can dramatically improve patient-centred outcomes. Bejamin Abella, Gallane Abraham, Terri Arlitsch Cridge, Robert Asselta, Brittany Ballaraon, Aveh Bastani, Danielle Bastien, Andrew Black, Shannon Bledsoe, Deidre Bolden, David Bolden, Tracy Bollman, Abby Bonato, Marie-Carmelle Elie, Jeffrey Caterino, Laraine Chiu, Joshua Chodosh, Molly Christenson, Julie Cooper, Ashley Deutsch, Ahmed Elsayem, Natasha Ergorova, Karen Evelyn, M Fernanda Bellolio, Charles Feronti, Jessica Fleischer-Black, Natalie Frontera, Tim Fuller, Ellin Gafford, Michelle Gamboa, Maureen Gang, Shelby Garduno, Michael Gartner, Rebecca Goett, Emily Grange, Corita Grudzen, Roshni Guerry, Jennifer Harris, Daniel Herbert Cohen, Christopher Hirtz, Judith Hochman, Leora Horwitz, Eric Isaacs, Mindi Johnson, Deb Johnson, Karen Jubanyik, Anne Kim, Gail Knight, Regina Kulacz, Sangeeta Lamba, Michelle Lin, Heather Linsata, Meghan Liroff, Elizabeth Long, Caitlin Loprinzi-Brauer, Anne Navarro, Troy Madsen, Kaysea Mclay, Joseph Miller, Catharin Morello, John O'Neill, Ronny Otero, Kei Ouchi, Lynne Richardson, Christopher Richardson, Todd Rowe, Elizabeth Schoenfeld, Melissa Shaw, Donna Shelley, Ashley Shreves, Jennifer Siller, Elizabeth Singer, Lauren Southerland, Laura Steucher, Robert Swor, Kelly Szabo, Andrea Torre, Karen Toulson, Andrea Troxel, Rachel Urosek, Julie Uspal, Tiny Varghese, Arvind Venkat, Travis Wood, Erin ZimnyĮmergency departments (ED) care for society's most vulnerable older adults who present with exacerbations of chronic disease at the end of life, yet the clinical paradigm focuses on treatment of acute pathologies. The date above the ladies says January 8th, Thats the day I started to down load them on my draft.I have no clue how to get rid of the date. I hope you enjoy this little token of love, Julie P.S. Belle, Valentine, and Lydia have all painted on features and Hannah and Cathrine have black glass seed bead eyes and shoes made from vintage paper. Their bodies and legs are made from new cloth. I will continue to make dolls using paper mache but I am also going to continue making dolls from paperclay also. ![]() Paper clay is a new material for me and I just love it. Each of the ladies heads and hands where made from hand molded paperclay. Last but not least, there is Hannah A free spirit and a newly married bride who is planning a little surprise for her sweetheart. Little Lydia who has been in love with the boy next door all her life and what she doesn't know is that he going to purpose to her on Valentines day. ![]() Catherine, who has been married for years to her best friend waits excitedly for her husbands return home from a business trip in the city. She has secretly been in love with Cupid for some time now and she is finally going to tell him.Then there Valentine who has just meet the man of her dreams and waits excitedly for him to take her to the Valentines day dance. Little belle is a little angel who has been helping cupid bring people together in love on Valentines day. A little cone filled with their love with a little heart attached each one.Each doll has a differant personality which is evident just by looking at them. Each of the ladies are dressed using antique and vintage materials and each carries a little token of love for their sweetheart.
0 Comments
Leave a Reply. |