1. Division of Pulmonary & Critical Care Medicine, Oregon Health & Science University OHSU, Portland, OR 97239, USA
2. Center to Improve Veteran Involvement in Care, Veterans Affairs Portland Health Care System (VAPORHCS), Portland, OR 97239, USA
3. Cancer Prevention & Control Program, Knight Cancer Institute, OHSU, Portland, OR 97239, USA
4. Section of Pulmonary & Critical Care Medicine, VAPORHCS, Portand, OR 97239, USA
5. Department of Medicine, Palliative & Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
6. Department of Psychiatry, Division of Geriatric Psychiatry, OHSU, Portland, OR 97239, USA
7. School of Nursing, OHSU, Portland, OR 97239, USA