Clinical Vignettes

Oncology: End-of-life Care

By accounting for this patient’s current acute gastric issues, the Jvion machine identified a disconnect between the current care plan and the patient’s actual end-of-life care needs.

A 70-year-old woman with Stage IIIB Diffuse Large B-Cell Lymphoma was scheduled for an upcoming survivorship visit. This visit was scheduled based on the presumption that she was in remission from the cancer. However, the patient was experiencing acute gastric issues. The Jvion machine flagged this patient as at-risk for 30-day mortality and suggested a re-evaluation of the care plan. Upon chart review, the Patient Care Coordinator and Provider delayed the survivorship visit because of the possible progression of the disease within her gastrointestinal system. During the patient’s practice visit, the Patient Care Coordinator team delivered the supportive care needed and concurrent work-up for possible GI malignancy. 

As a result of the insights delivered by the Jvion machine and the actions taken by the Patient Care Team, the patient’s end-of-life plan was discussed earlier so that expectations were established, and the desires of the patient were accounted for.