Challenges for a Successful Cooperation between Specialised Palliative Care and Geriatric Nursing Homes

2019 ◽  
Author(s):  
David Czudnochowski
Keyword(s):  
Palliative Care ◽  
Nursing Homes ◽  
Geriatric Nursing

From the NHHS and NHHCS Datasets: Trends in Hospice-Palliative Care Services in Nursing Homes From 2004 to 2007

2011 ◽  
Author(s):  
Catherine A. Yeager ◽  
Leon A. Hyer ◽  
Robert C. Intrieri
Keyword(s):  
Palliative Care ◽  
Nursing Homes ◽  
Care Services ◽  
Palliative Care Services ◽  
Hospice Palliative Care

scholarly journals A New Approach to the Identification of Palliative Care Needs and Advanced Chronic Patients among Nursing Home Residents

2021 ◽  
Vol 18 (6) ◽  
pp. 3171
Author(s):  
Ana A. Esteban-Burgos ◽  
María José Lozano-Terrón ◽  
Daniel Puente-Fernandez ◽  
César Hueso-Montoro ◽  
Rafael Montoya-Juárez ◽  
...  
Keyword(s):  
Palliative Care ◽  
Nursing Homes ◽  
Statistical Significance ◽  
Nursing Home Residents ◽  
Cross Sectional Study ◽  
Care Needs ◽  
Chronic Patients ◽  
Cross Sectional ◽  
Surprise Question ◽  
Palliative Care Needs

Background: Proper planning of Palliative Care in nursing homes requires advanced knowledge of the care needs that residents show. The aim of the study was to evaluate Palliative Needs and other conditions such as fragility, complexity, and prognosis and also to suggest new indicators for the establishment of the resident’s advanced chronic condition. Methods: Cross-sectional study conducted in 149 nursing homes Complex Chronic residents evaluated by trained professionals. Palliative Care Needs, assessed by the NECPAL ICO-CCOMS© tool, and fragility, case and palliative complexity and prognosis were evaluate through a comprehensive assessment. Descriptive analyses and association measures were performed setting the statistical significance at 0.05. Results: More than 50% of the residents had positive Surprise Question and other Palliative Needs and were classified as Advanced Chronic Patients. Distress and/or Severe Adaptative Disorder was the most frequent need shown by the residents and significant differences in levels of frailty and other characteristics, were found between the Positive and the Negative Surprise Question Groups. Statistically significant correlations were also found between aspects of both groups. Conclusions: Nursing homes residents show Palliative Needs regardless of the response to the Surprise Question of the NECPAL tool. Other characteristics such as presence of an intermediate level of frailty are suggested as a new perspective to identify advanced chronic patients among nursing homes residents.

Where Patients With Cancer Die: A Population-Based Study, 1990 to 2012

2018 ◽  
Vol 34 (4) ◽  
pp. 224-231 ◽  
Author(s):  
Roger W. Hunt ◽  
Katina D’Onise ◽  
Anh-Minh Thi Nguyen ◽  
Kamalesh Venugopal
Keyword(s):  
Palliative Care ◽  
Nursing Homes ◽  
Care Delivery ◽  
Young Patients ◽  
Population Based ◽  
Place Of Death ◽  
Patients With Cancer ◽  
Metropolitan Hospital ◽  
Care Models ◽  
At Home

Aims:To describe changes in the place of death of patients with cancer from 1990 to 2012, and to identify issues for their end-of-life care.Materials and Methods:Population-based descriptive study, with analyses of place of death patterns, using the South Australian Cancer Registry records of 86 257 patients with cancer who died from 1990 to 2012.Results:From 1990 to 2012, the proportion of cancer deaths in hospital decreased from 63.4% to 50.9%, and in nursing homes increased from 8.2% to 22.5%. After the year 2000, the proportions in hospices and at home were both below 15%. Multivariate analyses showed that young patients with cancer were more likely to die in a hospice or at home, compared to elderly patients with cancer who were more likely to die in a nursing home; the likelihood of dying in a hospice increased with socioeconomic status; patients with a short survival time or a hematological malignancy were more likely to die in a metropolitan hospital.Conclusions:Compared to most other countries, the proportion of cancer deaths at home was low, and many patients would not have died at their preferred place. The trend for more cancer deaths to occur in nursing homes is likely to continue, but nursing homes generally lack the resources and skilled staff to provide quality palliative care. Models of palliative care delivery should take account of patient preferences, the growth of terminal cancer care in nursing homes, and apparent inequities.

Ethical issues in Palliative Care for Nursing homes Survey

2018 ◽  
Author(s):  
Deborah H. L. Preshaw ◽  
Dorry McLaughlin ◽  
Kevin Brazil
Keyword(s):  
Palliative Care ◽  
Nursing Homes ◽  
Ethical Issues

What Models Exist for Delivering Palliative Care and Hospice in Nursing Homes?

2013 ◽  
pp. 450-457
Author(s):  
Justine S. Sefcik ◽  
Aditi Rao ◽  
Mary Ersek
Keyword(s):  
Palliative Care ◽  
Nursing Homes

scholarly journals USE OF PALLIATIVE CARE CONSULTS AND END-OF-LIFE CULTURE CHANGE PRACTICES IN NURSING HOMES

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 392-392
Author(s):  
M L Schwartz ◽  
M A Clark ◽  
J C Lima ◽  
S C Miller
Keyword(s):  
Palliative Care ◽  
Nursing Homes ◽  
End Of Life ◽  
Culture Change

scholarly journals Evaluation of person-centeredness in nursing homes after a palliative care intervention: pre- and post-test experimental design

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Christina Bökberg ◽  
Lina Behm ◽  
Birgitta Wallerstedt ◽  
Gerd Ahlström
Keyword(s):  
Palliative Care ◽  
Experimental Design ◽  
Nursing Homes ◽  
Care Intervention ◽  
Post Test

The provision of palliative care in nursing homes and residential care homes: a survey of clinical nurse specialist work

2002 ◽  
Vol 16 (6) ◽  
pp. 481-487 ◽  
Author(s):  
Katherine A Froggatt ◽  
Karen Poole ◽  
Lizzy Hoult
Keyword(s):  
Palliative Care ◽  
Nursing Homes ◽  
Residential Care ◽  
Clinical Nurse Specialist ◽  
Care Homes ◽  
Nurse Specialist ◽  
Clinical Nurse
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