Abstract:
OBJECTIVE:To compare residents in hospice care at admission to the nursing facility to end stage residents not in hospice at admission. DESIGN AND METHODS:We analyzed 18,211 admission assessments recorded in the Minimum Data Set (MDS) during the year 2000 throughout the United States for residents classified as having an end-stage disease (6 or fewer months to live). Fifty-nine percent (n = 10,656) of these residents were in hospice care at the time of their admission assessment. We used these MDS admission assessments to compare residents in hospice care to other end-stage residents not in hospice for demographic characteristics, health status, and treatments. RESULTS:Hospice residents at admission were significantly more likely to be female, older, white, and widowed than other end-stage residents at admission. There were significant differences between hospice residents and other residents at end stage in the use of advanced directives at admission. Hospice residents at admission experienced significantly more frequent and more intense pain than other end-stage residents at admission, while these hospice residents also showed greater impairment in cognitive ability and physical function. While cancer was the most common disease among these end-stage residents, it was significantly more prevalent among hospice residents. IMPLICATIONS:Many end-stage residents may not be receiving adequate palliative care in nursing facilities; further study of this is warranted. The MDS should be revised to record minimum standards for palliative care with or without the use of hospice to improve end-of life care in nursing facilities.
journal_name
J Palliat Medjournal_title
Journal of palliative medicineauthors
Buchanan RJ,Choi M,Wang S,Ju Hdoi
10.1089/109662104773709341subject
Has Abstractpub_date
2004-04-01 00:00:00pages
221-32issue
2eissn
1096-6218issn
1557-7740journal_volume
7pub_type
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journal_title:Journal of palliative medicine
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更新日期:2002-12-01 00:00:00
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更新日期:2015-07-01 00:00:00
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pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2019-09-01 00:00:00
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pub_type: 杂志文章,多中心研究
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