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Dying from covid-19: loneliness, end-of-life discussions and support for patients and their families in nursing homes and hospitals - a national register study

PETER, Strang ; JONAS, Bergström ; LISA, Martinsson ; STAFFAN, Lundström
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 10/2020, vol.60, n°4, p. 1-12

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End-of-life care among nursing home residents with dementia varies by nursing home and market characteristics

ORTH, Jessica ; LI, Yue ; SIMNING, Adam ; ZIMMERMAN, Sheryl ; TEMKIN-GREENER, Helena
Journal of the American Medical Directors Association, 28/07/2020, Pagination inconnue

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Thème : Age de la vie, situations spécifiques liées à la fin de vie.

FIN VIE ; MALADIE ALZHEIMER ; DEMENCE ; MAISON RETRAITE ; PERSONNE AGEE

OBJECTIVES: Nursing homes (NHs) are critical end-of-life (EOL) care settings for 70% of Americans dying with Alzheimer's disease/related dementias (ADRD). Whether EOL care/outcomes vary by NH/market characteristics for this population is unknown but essential information for improving NH EOL care/outcomes. Our objectives were to examine variations in EOL care/outcomes among decedents with ADRD and identify associations with NH/market characteristics.
DESIGN: Cross-sectional.
OUTCOMES: Place-of-death (hospital/NH), presence of pressure ulcers, potentially avoidable hospitalizations (PAHs), and hospice use at EOL. Key covariates were ownership, staffing, presence of Alzheimer's units, and market competition.
SETTING AND PARTICIPANTS: Long-stay NH residents with ADRD, age 65 + years of age, who died in 2017 (N = 191,435; 14,618 NHs) in NHs or hospitals shortly after NH discharge.
METHODS: National Medicare claims, Minimum Data Set, public datasets. Descriptive analyses and multivariable logistic regressions.
RESULTS: As ADRD severity increased, adjusted rates of in-hospital deaths and PAHs decreased (17.0% to 6.3%; 11.2% to 7.0%); adjusted rates of dying with pressure ulcers and hospice use increased (8.2% to 13.5%; 24.5% to 40.7%). Decedents with moderate and severe ADRD had 16% and 13% higher likelihoods of in-hospital deaths in for-profit NHs. In NHs with Alzheimer's units, likelihoods of in-hospital deaths, dying with pressure ulcers, and PAHs were significantly lower. As ADRD severity increased, higher licensed nurse staffing was associated with 14%-27% lower likelihoods of PAHs. Increased NH market competition was associated with higher likelihood of hospice use, and lower likelihood of in-hospital deaths among decedents with moderate ADRD.
CONCLUSIONS AND IMPLICATIONS: Decedents with ADRD in NHs that were nonprofit, had Alzheimer's units, higher licensed nurse staffing, and in more competitive markets, had better EOL care/outcomes. Modifications to state Medicaid NH payments may promote better EOL care/outcomes for this population. Future research to understand NH care practices associated with presence of Alzheimer's units is warranted to identify mechanisms possibly promoting higher-quality EOL care.

Origine : PubMed

Antihypertensive deprescribing in older adult veterans at end of life admitted to veteran affairs nursing homes

VU, Michelle ; SILEANU, Florentina E. ; ASPINALL, Sherrie L. ; NIZNIK, Joshua D. ; SPRINGER, Sydney P. ; MOR, Maria K. ; ZHAO, Xinhua ; ERSEK, Mary ; HANLON, Joseph T. ; GELLAD, Walid F. ; SCHLEIDEN, Loren J. ; THORPE, Joshua M. ; THORPE, Carolyn T.
Journal of the American Medical Directors Association, 25/07/2020, Pagination inconnue

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A bridge to cross - tube feeding and the barriers to implementation of palliative care for the advanced dementia patient

MATARASSO GREENFELD, Sarah ; GIL, Efrat ; AGMON, Maayan
Journal of clinical nursing, 31/07/2020, Pagination inconnue

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Symptom relief is possible in elderly dying covid-19 patients - a national register study

STRANG, Peter M. ; BERGSTRÖM, Jonas ; LUNDSTRÖM, Staffan
JOURNAL OF PALLIATIVE MEDICINE, 31/07/2020, p. 1-6

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International covid-19 palliative care guidance for nursing homes leaves key themes unaddressed

GILISSEN, Joni ; PIVODIC, Lara ; UNROE, Kathleen T. ; VAN DEN BLOCK, Lieve
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 08/2020, vol.60, n°2, p. e56-e69

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What contributes to family carers' decision to transition towards palliative-oriented care for their relatives in nursing homes? - qualitative findings from bereaved family carers' experiences

GONELLA, Silvia ; CLARI, Marco ; BASSO, Ines ; DI GIULIO, Paola
Palliative and supportive care, 24/08/2020, p. 1-9

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Nursing staff participation in end-of-life nutrition and hydration decision-making in a nursing home - a qualitative study

FIRNHABER, Gina C. ; ROBERSON, Donna W. ; KOLASA, Kathryn M.
Journal of advanced nursing, 20/08/2020, Pagination inconnue

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Feasibility of using a risk assessment tool to predict hospital transfers or death for older people in Australian residential aged care - a retrospective cohort study

OOI, Meidelynn ; LEWIS, Ebony T. ; BRISBANE, Julianne ; TUBB, Evalynne ; MCCLEAN, Tom ; ASSAREH, Hassan ; HILLMAN, Ken ; ACHAT, Helen ; CARDONA, Magnolia
Healthcare, 21/08/2020, vol.8, n°3, p. 1-11

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Transversal

BOUYGUE, Jacques
l'Harmattan , 2020 , 199 p.

Jamais maman ne serait morte sans me prévenir

RUDEL, Marie-Hélène
les Perséides , 2020 , 196 p.

Care homes as hospices for the prevalent form of dying - an analysis of long-term care provision towards the end of life in England

TEGGI, Diana
Social science and medicine, 01/07/2020, vol.260, Pagination inconnue

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Understanding nursing home staff attitudes toward death and dying - a survey

BUI, Nhat ; HALIFAX, Elizabeth ; DAVID, Daniel ; HUNT, Lauren ; UY, Edyssa ; RITCHIE, Christine ; STEPHENS, Caroline
The American journal of nursing, 08/2020, vol.120, n°8, p. 24-31

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Lack of effect of a multicomponent palliative care program for nursing home residents on hospital use in the last month of life and on place of death - a secondary analysis of a multicountry cluster randomized control trial

HONINX, Elisabeth ; SMETS, Tinne ; PIERS, Ruth ; PASMAN, H. Roeline W. ; PAYNE, Sheila ; SZCZERBINSKA, Katarzyna ; GAMBASSI, Giovanni ; KYLANEN, Marika ; PAUTEX, Sophie ; DELIENS, Luc ; VAN DEN BLOCK, Lieve
Journal of the American Medical Directors Association, 06/07/2020, Pagination inconnue

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Symptom management and end-of-life care of residents with Covid-19 in long-term care homes

KHOSRAVANI, Houman ; STEINBERG, L. ; INCARDONA, Nadia ; QUAIL, P. ; PERRI, G.A.
Canadian family physician, 06/2020, vol.66, n°6, p. 404-406

Trends in residential setting and hospice use at the end of life for medicare decedents - study examines trends in hospice use at the end of life for medicare decedents including hospice use in community-based residential settings, private residences, and nursing homes

ALDRIDGE, Melissa D. ; ORNSTEIN, Katherine A. ; MCKENDRICK, Karen ; MORENO, Jaison ; RECKREY, Jennifer M. ; LI, Lihua
Health affairs, 01/06/2020, vol.39, n°6, p. 1060-1064

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Deaths from heart failure and cancer - location trends

SHAHID, Izza ; KUMAR, Pankaj ; KHAN, Muhammad Shahzeb ; ARIF, Abdul Wahab ; FAROOQ, Muhammad Zain ; KHAN, Safi U ; DAVIS, Dorothy M ; MICHOS, Erin D ; KRASUSKI, Richard A
BMJ supportive and palliative care, 22/06/2020, Pagination inconnue

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Nurses' self-efficacy, rather than their knowledge, is associated with their engagement in advance care planning in nursing homes - a survey study

GILISSEN, Joni ; PIVODIC, Lara ; WENDRICH-VAN DAEL, Annelien ; COOLS, Wilfried ; VANDER STICHELE, Robert ; VAN DEN BLOCK, Lieve ; DELIENS, Luc ; GASTMANS, Chris
PALLIATIVE MEDICINE, 07/2020, vol.34, n°7, p. 917-924

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A qualitative study of nurses' perspective about the impact of end-of-life communication on the goal of end-of-life care in nursing home

GONELLA, Silvia ; BASSO, Ines ; CLARI, Marco ; DIMONTE, Valerio ; DI GIULIO, Paola
Scandinavian journal of caring sciences, 28/04/2020, Pagination inconnue

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Social regulation activities in end-of-life - a qualitative study on completion of advance directives in Swiss nursing homes

DROZ MENDELZWEIG, M.
BMC palliative care, 23/04/2020, vol.19, n°1, p. 1-11

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