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2. 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.  25:871-875. 2024
3. Patient Priorities Care Increases Long-Term Service and Support Use: Propensity Match Cohort Study..  Journal of the American Medical Directors Association.  25:751-756. 2024
4. Re-Writing the Story of Mid- and Late Life Family Caregiving: Applying a Narrative Identity Framework..  The Gerontologist.  64. 2024
5. Diagnostic uncertainty and decision-making in home-based primary care: A qualitative study of antibiotic prescribing..  Journal of the American Geriatrics Society.  72:1468-1475. 2024
6. "How can I be a caregiver for a second time?" A call to action to acknowledge and support experienced family caregivers..  Journal of the American Geriatrics Society.  72:971-975. 2024
7. Personal Health Planning in Adult-Child Former Caregivers of Parents Living With Dementia..  American journal of health promotion : AJHP.  38:-. 2023
8. Former dementia caregivers' high and low point narratives: what is remembered, and how is it shared?.  Aging & mental health.  28:1-435. 2023
9. Validation of Electronic Health Record-Based Algorithms to Identify Specialist Palliative Care Within the Department of Veterans Affairs..  Journal of pain and symptom management.  66:e475-e483. 2023
10. Development of REDCap-based architecture for a clinical decision support tool linked to the electronic health record for assessment of medication appropriateness..  JAMIA open.  6:-. 2023
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12. "Been there, done that:" A grounded theory of future caregiver preparedness in former caregivers of parents living with dementia..  Journal of the American Geriatrics Society.  71:1495-1504. 2022
13. Effect of Computer-Tailored Print Feedback, Motivational Interviewing, and Motivational Enhancement Therapy on Engagement in Advance Care Planning: A Randomized Clinical Trial..  JAMA internal medicine.  182:1298-1305. 2022
14. Emergency department care transition barriers: A qualitative study of care partners of older adults with cognitive impairment..  Alzheimer's & dementia (New York, N. Y.).  8:-. 2022
15. Prediction of physical functioning and general health status trajectories on mortality among persons with cognitive impairment..  BMC geriatrics.  22:-. 2022
16. Giving up on the objective of providing goal-concordant care: Advance care planning for improving caregiver outcomes..  Journal of the American Geriatrics Society.  70:3006-3011. 2022
17. Trajectories of physical functioning among US adults with cognitive impairment..  Age and ageing.  51. 2022
18. Primary care clinicians' use of deprescribing recommendations: A mixed-methods study..  Patient education and counseling.  105:2715-2720. 2022
19. Perceived dementia risk and advance care planning among older adults..  Journal of the American Geriatrics Society.  70:1481-1486. 2022
20. Trajectories of General Health Status and Depressive Symptoms Among Persons With Cognitive Impairment in the United States..  Journal of aging and health.  34:720-735. 2022
21. Effect of the STAMP (Sharing and Talking About My Preferences) Intervention on Completing Multiple Advance Care Planning Activities in Ambulatory Care : A Cluster Randomized Controlled Trial..  Annals of internal medicine.  174:1519-1527. 2021
22. Anticoagulant Use for Atrial Fibrillation Among Persons With Advanced Dementia at the End of Life..  JAMA internal medicine.  181:1121-1123. 2021
23. Qualitative analysis of reasons for hospitalization for severe hypoglycemia among older adults with diabetes..  BMC geriatrics.  21:-. 2021
24. Characteristics of Older Adults Who Cannot Identify a Healthcare Agent..  Journal of general internal medicine.  37:1313-1314. 2021
25. Engagement in Non-Medical End-of-Life Planning by Older Adults..  Journal of pain and symptom management.  62:805-812. 2021
26. Early Changes in Rates of Documented Goals-of-Care Conversations in the Veterans Health Administration During the COVID-19 Pandemic..  Journal of general internal medicine.  36:1466-1469. 2021
27. Prognostic information, goals of care, and code status decision-making among older patients..  Journal of the American Geriatrics Society.  69:2025-2028. 2021
28. Understanding the Role of Knowledge in Advance Care Planning Engagement..  Journal of pain and symptom management.  62:778-784. 2021
29. Prognosis as Health Trajectory: Educating Patients and Informing the Plan of Care..  Journal of general internal medicine.  36:2125-2126. 2021
30. Cognitively Impaired Older Persons' and Caregivers' Perspectives on Dementia-Specific Advance Care Planning..  Journal of the American Geriatrics Society.  69:932-937. 2020
31. Guardianship and End-of-Life Care for Veterans with Dementia in Nursing Homes..  Journal of the American Geriatrics Society.  69:342-348. 2020
32. Dying to know: prognosis communication in heart failure..  ESC heart failure.  7:3452-3463. 2020
33. Older Adults without Desired Surrogates in a Nationally Representative Sample..  Journal of the American Geriatrics Society.  69:114-121. 2020
34. Physician Orders for Life-Sustaining Treatment and Limiting Overtreatment at the End of Life..  JAMA.  323:934-935. 2020
35. Chronic Disease Decision Making and "What Matters Most"..  Journal of the American Geriatrics Society.  68:474-477. 2020
36. Feasibility of Delivering a Tailored Intervention for Advance Care Planning in Primary Care Practice..  Journal of the American Geriatrics Society.  67:1917-1921. 2019
37. Communication About Treatment Options and Shared Decision Making in the Intensive Care Unit..  JAMA internal medicine.  179:684-685. 2019
38. Assessment of Surrogates' Knowledge of Patients' Treatment Goals and Confidence in Their Ability to Make Surrogate Treatment Decisions..  JAMA internal medicine.  179:267-268. 2019
39. Medication Appropriateness in Vulnerable Older Adults: Healthy Skepticism of Appropriate Polypharmacy..  Journal of the American Geriatrics Society.  67:1123-1127. 2019
40. Medication appropriateness criteria for older adults: a narrative review of criteria and supporting studies..  Therapeutic advances in drug safety.  -. 2019
41. Characteristics of Patients With Professional Guardians in the Department of Veterans Affairs Health Care System..  JAMA internal medicine.  179:107-108. 2019
42. Multifactorial Examination of Caregiver Burden in a National Sample of Family and Unpaid Caregivers..  Journal of the American Geriatrics Society.  67:277-283. 2018
43. The beginning of the end: A qualitative study of falls among HIV+ individuals..  PloS one.  13:-. 2018
44. Patient and Caregiver Perspectives on Managing Multiple Health Conditions..  Journal of the American Geriatrics Society.  66:1992-1997. 2018
45. Increasing engagement in advance care planning using a behaviour change model: study protocol for the STAMP randomised controlled trials..  BMJ open.  8:-. 2018
46. Defining the Scope of Prognosis: Primary Care Clinicians' Perspectives on Predicting the Future Health of Older Adults..  Journal of pain and symptom management.  55:1269-1275.e1. 2018
47. Effect of the Tool to Reduce Inappropriate Medications on Medication Communication and Deprescribing..  Journal of the American Geriatrics Society.  65:2265-2271. 2017
48. Family and Other Unpaid Caregivers and Older Adults with and without Dementia and Disability..  Journal of the American Geriatrics Society.  65:1821-1828. 2017
49. Do-Not-Hospitalize Orders in Nursing Homes: "Call the Family Instead of Calling the Ambulance"..  Journal of the American Geriatrics Society.  65:1573-1577. 2017
50. Engagement in Advance Care Planning and Surrogates' Knowledge of Patients' Treatment Goals..  Journal of the American Geriatrics Society.  65:1712-1718. 2017
51. Avoiding Hospitalizations From Nursing Homes for Potentially Burdensome Care: Results of a Qualitative Study..  JAMA internal medicine.  177:137-139. 2017
52. A Dyadic Perspective on Engagement in Advance Care Planning..  Journal of the American Geriatrics Society.  65:172-178. 2016
53. Impact of Pain on Family Members and Caregivers of Geriatric Patients..  Clinics in geriatric medicine.  32:663-675. 2016
54. Development of the Tool to Reduce Inappropriate Medications (TRIM): A Clinical Decision Support System to Improve Medication Prescribing for Older Adults..  Pharmacotherapy.  36:694-701. 2016
55. Spousal Associations Between Frailty and Depressive Symptoms: Longitudinal Findings from the Cardiovascular Health Study..  Journal of the American Geriatrics Society.  64:824-30. 2016
56. Vulvovaginal symptoms prevalence in postmenopausal women and relationship to other menopausal symptoms and pelvic floor disorders..  Menopause (New York, N.Y.).  23:368-75. 2016
57. A Delphi process to address medication appropriateness for older persons with multiple chronic conditions..  BMC geriatrics.  -. 2016
58. Development of Personalized Health Messages to Promote Engagement in Advance Care Planning..  Journal of the American Geriatrics Society.  64:359-64. 2016
59. Shared Decision Making--Finding the Sweet Spot..  The New England journal of medicine.  374:104-6. 2016
60. Guardianship and End-of-Life Decision Making..  JAMA internal medicine.  175:1687-91. 2015
61. Husbands' and Wives' Physical Activity and Depressive Symptoms: Longitudinal Findings from the Cardiovascular Health Study..  Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.  49:704-14. 2015
62. Patient-defined goals for the treatment of severe aortic stenosis: a qualitative analysis..  Health expectations : an international journal of public participation in health care and health policy.  19:1036-43. 2015
63. Surrogate Decision Making for Patients Without Nuclear Family..  JAMA.  314:-. 2015
64. Older Adults' Recognition of Trade-Offs in Healthcare Decision-Making..  Journal of the American Geriatrics Society.  63:1658-62. 2015
65. Patients with next-of-kin relationships outside the nuclear family..  JAMA.  313:1369-70. 2015
66. Health care worker attitudes and identified barriers to patient sleep in the medical intensive care unit..  Heart & lung : the journal of critical care.  44:95-9. 2015
67. Functional disability and compromised mobility among older women with urinary incontinence..  Female pelvic medicine & reconstructive surgery.  21:170-5. 2015
68. Decision-making and cancer screening: a qualitative study of older adults with multiple chronic conditions..  Journal of geriatric oncology.  6:93-100. 2014
69. Frailty, cognitive impairment, and functional disability in older women with female pelvic floor dysfunction..  International urogynecology journal.  26:823-30. 2014
70. Health outcomes associated with polypharmacy in community-dwelling older adults: a systematic review..  Journal of the American Geriatrics Society.  62:2261-72. 2014
71. The effects of comorbidity on the benefits and harms of treatment for chronic disease: a systematic review..  PloS one.  9:-. 2014
72. Functional disability among older women with fecal incontinence..  American journal of obstetrics and gynecology.  212:327.e1-7. 2014
73. Relationship between universal health outcome priorities and willingness to take medication for primary prevention of myocardial infarction..  Journal of the American Geriatrics Society.  62:1753-8. 2014
74. Association of experience with illness and end-of-life care with advance care planning in older adults..  Journal of the American Geriatrics Society.  62:1304-9. 2014
75. A comparison of the willingness of resident and attending physicians to comply with the requests of patients at the end of life..  Journal of general internal medicine.  29:1048-54. 2014
76. Over-the-counter treatments and perineal hygiene in postmenopausal women..  Menopause (New York, N.Y.).  21:281-5. 2014
77. The Vulvovaginal Symptoms Questionnaire: a questionnaire for measuring vulvovaginal symptoms in postmenopausal women..  Menopause (New York, N.Y.).  20:973-9. 2013
78. Considering the balance: development of a scale to assess patient views on trade-offs in competing health outcomes..  Journal of the American Geriatrics Society.  61:1331-6. 2013
79. Medical ICU admission diagnoses and outcomes in human immunodeficiency virus-infected and virus-uninfected veterans in the combination antiretroviral era..  Critical care medicine.  41:1458-67. 2013
80. Systematic review: Health-related characteristics of elderly hospitalized adults and nursing home residents associated with short-term mortality..  Journal of the American Geriatrics Society.  61:902-11. 2013
81. Patient preferences for deactivation of implantable cardioverter-defibrillators..  JAMA internal medicine.  173:377-9. 2013
82. Trajectories of posttraumatic stress symptomatology in older persons affected by a large-magnitude disaster..  Journal of psychiatric research.  47:520-6. 2013
83. Risk factors for hospitalization and medical intensive care unit (MICU) admission among HIV-infected Veterans..  Journal of acquired immune deficiency syndromes (1999).  62:52-9. 2013
84. How to ask: older adults' preferred tools in health outcome prioritization..  Patient education and counseling.  91:29-36. 2012
85. Advance care planning beyond advance directives: perspectives from patients and surrogates..  Journal of pain and symptom management.  46:355-65. 2012
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87. A pilot randomized controlled trial of a decision support tool to improve the quality of communication and decision-making in individuals with atrial fibrillation..  Journal of the American Geriatrics Society.  60:1434-41. 2012
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91. Diagnostic utility and factor structure of the PTSD Checklist in older adults..  International psychogeriatrics.  24:1684-96. 2012
92. Influence of patient age and comorbid burden on clinician attitudes toward heart failure guidelines..  The American journal of geriatric pharmacotherapy.  10:211-8. 2012
93. Major postoperative complications after benign gynecologic surgery: a clinical prediction tool..  Female pelvic medicine & reconstructive surgery.  18:274-80. 2012
94. Impact of comorbidity on mortality among older persons with advanced heart failure..  Journal of general internal medicine.  27:513-9. 2011
95. Measuring pain impact versus pain severity using a numeric rating scale..  Journal of general internal medicine.  27:555-60. 2011
96. Development of a tool to improve the quality of decision making in atrial fibrillation..  BMC medical informatics and decision making.  -. 2011
97. Postoperative complications after gynecologic surgery..  Obstetrics and gynecology.  118:785-93. 2011
98. Health outcome prioritization as a tool for decision making among older persons with multiple chronic conditions..  Archives of internal medicine.  171:1854-6. 2011
99. Continuous positive airway pressure: evaluation of a novel therapy for patients with acute ischemic stroke..  Sleep.  34:1271-7. 2011
100. Contribution of multiple chronic conditions to universal health outcomes..  Journal of the American Geriatrics Society.  59:1686-91. 2011
101. Effect of chronic disease-related symptoms and impairments on universal health outcomes in older adults..  Journal of the American Geriatrics Society.  59:1618-27. 2011
102. Mixed Methods for the Interpretation of Longitudinal Gerontologic Data: Insights From Philosophical Hermeneutics..  Journal of mixed methods research.  5:293-308. 2011
103. Promoting advance care planning as health behavior change: development of scales to assess Decisional Balance, Medical and Religious Beliefs, and Processes of Change..  Patient education and counseling.  86:25-32. 2011
104. Agreement between older persons and their surrogate decision-makers regarding participation in advance care planning..  Journal of the American Geriatrics Society.  59:1105-9. 2011
105. Change in comorbidity prevalence with advancing age among persons with heart failure..  Journal of general internal medicine.  26:1145-51. 2011
106. Effects of benefits and harms on older persons' willingness to take medication for primary cardiovascular prevention..  Archives of internal medicine.  171:923-8. 2011
107. Stages of change for the component behaviors of advance care planning..  Journal of the American Geriatrics Society.  58:2329-36. 2010
108. Burden in caregivers of older adults with advanced illness..  Journal of the American Geriatrics Society.  58:2315-22. 2010
109. Primary care clinicians' experiences with treatment decision making for older persons with multiple conditions..  Archives of internal medicine.  171:75-80. 2010
110. Electronic health records and adverse drug events after patient transfer..  Quality & safety in health care.  19:-. 2010
111. Redefining the "planning" in advance care planning: preparing for end-of-life decision making..  Annals of internal medicine.  153:256-61. 2010
112. Health outcome prioritization to elicit preferences of older persons with multiple health conditions..  Patient education and counseling.  83:278-82. 2010
113. Auto-titrating continuous positive airway pressure for patients with acute transient ischemic attack: a randomized feasibility trial..  Stroke.  41:1464-70. 2010
114. Trajectories of quality of life in older persons with advanced illness..  Journal of the American Geriatrics Society.  58:837-43. 2010
115. Individualized medical decision making: necessary, achievable, but not yet attainable..  Archives of internal medicine.  170:566-9. 2010
116. Perspectives of older persons on bathing and bathing disability: a qualitative study..  Journal of the American Geriatrics Society.  58:450-6. 2010
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118. Uncertainty about advance care planning treatment preferences among diverse older adults..  Journal of health communication.  15 Suppl 2:159-71. 2010
119. Inverse intensity weighting in generalized linear models as an option for analyzing longitudinal data with triggered observations..  American journal of epidemiology.  171:105-12. 2009
120. Understanding advance care planning as a process of health behavior change..  Journal of the American Geriatrics Society.  57:1547-55. 2009
121. Understanding their options: determinants of hospice discussion for older persons with advanced illness..  Journal of general internal medicine.  24:923-8. 2009
122. Physician factors associated with outpatient palliative care referral..  Palliative medicine.  23:608-15. 2009
123. Relationship between conditions addressed by hemodialysis guidelines and non-ESRD-specific conditions affecting quality of life..  Clinical journal of the American Society of Nephrology : CJASN.  4:572-8. 2009
124. Prescribing discrepancies likely to cause adverse drug events after patient transfer..  Quality & safety in health care.  18:32-6. 2009
125. Views of older persons with multiple morbidities on competing outcomes and clinical decision-making..  Journal of the American Geriatrics Society.  56:1839-44. 2008
126. Using the experiences of bereaved caregivers to inform patient- and caregiver-centered advance care planning..  Journal of general internal medicine.  23:1602-7. 2008
127. Health outcome priorities among competing cardiovascular, fall injury, and medication-related symptom outcomes..  Journal of the American Geriatrics Society.  56:1409-16. 2008
128. Religion, risk, and medical decision making at the end of life..  Journal of aging and health.  20:545-59. 2008
129. Development of a tool for eliciting patient priority from among competing cardiovascular disease, medication-symptoms, and fall injury outcomes..  Journal of the American Geriatrics Society.  56:730-6. 2008
130. If You Want Patients with Knee Osteoarthritis (OA) to Exercise: Tell them about NSAIDS..  The patient.  1:21-26. 2008
131. Range and severity of symptoms over time among older adults with chronic obstructive pulmonary disease and heart failure..  Archives of internal medicine.  167:2503-8. 2007
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133. Improving informed decision-making for patients with knee pain..  The Journal of rheumatology.  34:1894-8. 2007
134. Inconsistency over time in the preferences of older persons with advanced illness for life-sustaining treatment..  Journal of the American Geriatrics Society.  55:1007-14. 2007
135. Refusal of medical and surgical interventions by older persons with advanced chronic disease..  Journal of general internal medicine.  22:982-7. 2007
136. Changes in preferences for life-sustaining treatment among older persons with advanced illness..  Journal of general internal medicine.  22:495-501. 2007
137. The association of symptoms with health outcomes in chronically ill adults..  Journal of pain and symptom management.  33:58-66. 2007
138. Triggered sampling could help improve longitudinal studies of persons with elevated mortality risk..  Journal of clinical epidemiology.  60:288-93. 2006
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141. Are patient preferences for life-sustaining treatment really a barrier to hospice enrollment for older adults with serious illness?.  Journal of the American Geriatrics Society.  54:472-8. 2006
142. Changes in prognostic awareness among seriously ill older persons and their caregivers..  Journal of palliative medicine.  9:61-9. 2006
143. Symptom assessment in community-dwelling older adults with advanced chronic disease..  Journal of pain and symptom management.  31:31-7. 2006
144. Communication between physicians and family caregivers about care at the end of life: when do discussions occur and what is said?.  Journal of palliative medicine.  8:1176-85. 2005
145. Doctor-patient communication about prognosis: the influence of race and financial status..  Journal of palliative medicine.  8:998-1004. 2005
146. Unmet desire for caregiver-patient communication and increased caregiver burden..  Journal of the American Geriatrics Society.  53:59-65. 2005
147. The burden of symptoms among community-dwelling older persons with advanced chronic disease..  Archives of internal medicine.  164:2321-4. 2004
148. Informed consent for thrombolytic therapy for patients with acute ischemic stroke treated in routine clinical practice..  Stroke.  35:e353-5. 2004
149. Informed choice and the widespread use of antiinflammatory drugs..  Arthritis and rheumatism.  51:210-4. 2004
150. Are preferences for cyclooxygenase-2 inhibitors influenced by the certainty effect?.  The Journal of rheumatology.  31:591-3. 2004
151. The end of the disease era..  The American journal of medicine.  116:179-85. 2004
152. Factors associated with caregiver burden among caregivers of terminally ill patients with cancer..  Journal of palliative care.  20:38-43. 2004
153. Prognosis communication in serious illness: perceptions of older patients, caregivers, and clinicians..  Journal of the American Geriatrics Society.  51:1398-403. 2003
154. Valuing the outcomes of treatment: do patients and their caregivers agree?.  Archives of internal medicine.  163:2073-8. 2003
155. What matters to seriously ill older persons making end-of-life treatment decisions?: A qualitative study..  Journal of palliative medicine.  6:237-44. 2003
156. Assessment of patient preferences: integrating treatments and outcomes..  The journals of gerontology. Series B, Psychological sciences and social sciences.  57:S348-54. 2002
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158. The effect of inpatient hospice units on hospice use post-admission..  Home health care services quarterly.  21:73-83. 2002
159. Functional disability and health care expenditures for older persons..  Archives of internal medicine.  161:2602-7. 2001
160. Documentation of discussions about prognosis with terminally ill patients..  The American journal of medicine.  111:218-23. 2001
161. Nurses' use of palliative care practices in the acute care setting..  Journal of professional nursing : official journal of the American Association of Colleges of Nursing.  17:14-22. 2001
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163. Attitudes about care at the end of life among clinicians: a quick, reliable, and valid assessment instrument..  Journal of palliative care.  16:6-14. 2000
164. Referral of terminally ill patients for hospice: frequency and correlates..  Journal of palliative care.  16:20-6. 2000
165. Older persons' perceptions of home and hospital as sites of treatment for acute illness..  The American journal of medicine.  107:317-23. 1999
166. Older persons' preferences for site of terminal care..  Annals of internal medicine.  131:109-12. 1999
167. Who dies at home? Determinants of site of death for community-based long-term care patients..  Journal of the American Geriatrics Society.  47:25-9. 1999
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169. "The slow code"..  The New England journal of medicine.  338:1922; author reply 1922-3. 1998
170. Factors associated with six-month mortality in recipients of community-based long-term care..  Journal of the American Geriatrics Society.  46:193-7. 1998
171. When the patient cannot come to the doctor: a medical housecalls program..  Journal of the American Geriatrics Society.  46:226-31. 1998
172. Frailty and hospitalization of long-term stay nursing home residents..  Journal of the American Geriatrics Society.  45:265-9. 1997
173. Short-term functional outcomes of long-term care residents with pneumonia treated with and without hospital transfer..  Journal of the American Geriatrics Society.  45:302-6. 1997
174. The association between age of hospitalized patients and the delivery of advanced cardiac life support..  Journal of general internal medicine.  11:257-61. 1996
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176. Whether to transfer? Factors associated with hospitalization and outcome of elderly long-term care patients with pneumonia..  Journal of general internal medicine.  10:246-50. 1995
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