Characteristics of dementia end-of-life care across care settings
End-of-life care for persons with dementia in different care settings was retrospectively surveyed. In this sample, care recipients receiving hospice care and pain control stayed at home longer and were more likely to die at home. Psychiatric symptoms increased caregiver burden and were the most com...
Gespeichert in:
Veröffentlicht in: | American journal of hospice & palliative medicine 2003-05, Vol.20 (3), p.191-200 |
---|---|
Hauptverfasser: | , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 200 |
---|---|
container_issue | 3 |
container_start_page | 191 |
container_title | American journal of hospice & palliative medicine |
container_volume | 20 |
creator | Volicer, Ladislav Hurley, Ann C. Blasi, Zuzka V. |
description | End-of-life care for persons with dementia in different care settings was retrospectively surveyed. In this sample, care recipients receiving hospice care and pain control stayed at home longer and were more likely to die at home. Psychiatric symptoms increased caregiver burden and were the most common reason for admission to an institution, and psychiatric care was associated with longer stay at home. Presence of advance directives decreased hospital stay and increased the likelihood of dying in a nursing home. Care recipients dying at home had fewer symptoms and less discomfort than care recipients dying in other settings. These results indicate that quality end-of-life care can be provided at home and is facilitated by hospice programs, effective pain control, and psychiatric care. |
doi_str_mv | 10.1177/104990910302000307 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_73361172</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_104990910302000307</sage_id><sourcerecordid>73361172</sourcerecordid><originalsourceid>FETCH-LOGICAL-c279t-e92987a5bb8568f87937a354463b830cbb48728c8f3b4d82db46f0d4d4e8211a3</originalsourceid><addsrcrecordid>eNp9kDtPwzAUhS0EoqXwBxhQJrZQvxLbY1VRQKrEAnNkO9clVR7Fdgb-PS6pxIDEcu8ZvnN070HoluAHQoRYEsyVwopghinGaYozNCeKyZwKUpwnnYD8SMzQVQj7hFDOySWaESpkgTmeo9X6Q3ttI_gmxMaGbHBZDR30sdEZ9HU-uLxtHGRWe8i09UMIkw4QY9PvwjW6cLoNcHPaC_S-eXxbP-fb16eX9WqbWypUzEFRJYUujJFFKZ0UignNCs5LZiTD1hguBZVWOmZ4LWlteOlwzWsOkhKi2QLdT7kHP3yOEGLVNcFC2-oehjFUgrEy1UITSCfw51gPrjr4ptP-qyK4OhZX_S0ume5O6aPpoP61nJpKwHICgt5BtR9G36dv_4v8BlP7dE4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>73361172</pqid></control><display><type>article</type><title>Characteristics of dementia end-of-life care across care settings</title><source>SAGE Complete A-Z List</source><source>MEDLINE</source><source>Journals@Ovid Complete</source><creator>Volicer, Ladislav ; Hurley, Ann C. ; Blasi, Zuzka V.</creator><creatorcontrib>Volicer, Ladislav ; Hurley, Ann C. ; Blasi, Zuzka V.</creatorcontrib><description>End-of-life care for persons with dementia in different care settings was retrospectively surveyed. In this sample, care recipients receiving hospice care and pain control stayed at home longer and were more likely to die at home. Psychiatric symptoms increased caregiver burden and were the most common reason for admission to an institution, and psychiatric care was associated with longer stay at home. Presence of advance directives decreased hospital stay and increased the likelihood of dying in a nursing home. Care recipients dying at home had fewer symptoms and less discomfort than care recipients dying in other settings. These results indicate that quality end-of-life care can be provided at home and is facilitated by hospice programs, effective pain control, and psychiatric care.</description><identifier>ISSN: 1049-9091</identifier><identifier>EISSN: 1938-2715</identifier><identifier>DOI: 10.1177/104990910302000307</identifier><identifier>PMID: 12785040</identifier><language>eng</language><publisher>Thousand Oaks, CA: Sage Publications</publisher><subject>Aged ; Alzheimer Disease - psychology ; Alzheimer Disease - therapy ; Analysis of Variance ; Caregivers ; Dementia - psychology ; Dementia - therapy ; Geriatric Psychiatry ; Home Care Services - standards ; Home Care Services - utilization ; Hospice Care - standards ; Hospice Care - utilization ; Humans ; Nursing ; Pain - drug therapy ; Quality of Health Care ; Retrospective Studies ; Terminal Care - standards ; United States</subject><ispartof>American journal of hospice & palliative medicine, 2003-05, Vol.20 (3), p.191-200</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c279t-e92987a5bb8568f87937a354463b830cbb48728c8f3b4d82db46f0d4d4e8211a3</citedby><cites>FETCH-LOGICAL-c279t-e92987a5bb8568f87937a354463b830cbb48728c8f3b4d82db46f0d4d4e8211a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/104990910302000307$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/104990910302000307$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21800,27903,27904,43600,43601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12785040$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Volicer, Ladislav</creatorcontrib><creatorcontrib>Hurley, Ann C.</creatorcontrib><creatorcontrib>Blasi, Zuzka V.</creatorcontrib><title>Characteristics of dementia end-of-life care across care settings</title><title>American journal of hospice & palliative medicine</title><addtitle>Am J Hosp Palliat Care</addtitle><description>End-of-life care for persons with dementia in different care settings was retrospectively surveyed. In this sample, care recipients receiving hospice care and pain control stayed at home longer and were more likely to die at home. Psychiatric symptoms increased caregiver burden and were the most common reason for admission to an institution, and psychiatric care was associated with longer stay at home. Presence of advance directives decreased hospital stay and increased the likelihood of dying in a nursing home. Care recipients dying at home had fewer symptoms and less discomfort than care recipients dying in other settings. These results indicate that quality end-of-life care can be provided at home and is facilitated by hospice programs, effective pain control, and psychiatric care.</description><subject>Aged</subject><subject>Alzheimer Disease - psychology</subject><subject>Alzheimer Disease - therapy</subject><subject>Analysis of Variance</subject><subject>Caregivers</subject><subject>Dementia - psychology</subject><subject>Dementia - therapy</subject><subject>Geriatric Psychiatry</subject><subject>Home Care Services - standards</subject><subject>Home Care Services - utilization</subject><subject>Hospice Care - standards</subject><subject>Hospice Care - utilization</subject><subject>Humans</subject><subject>Nursing</subject><subject>Pain - drug therapy</subject><subject>Quality of Health Care</subject><subject>Retrospective Studies</subject><subject>Terminal Care - standards</subject><subject>United States</subject><issn>1049-9091</issn><issn>1938-2715</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kDtPwzAUhS0EoqXwBxhQJrZQvxLbY1VRQKrEAnNkO9clVR7Fdgb-PS6pxIDEcu8ZvnN070HoluAHQoRYEsyVwopghinGaYozNCeKyZwKUpwnnYD8SMzQVQj7hFDOySWaESpkgTmeo9X6Q3ttI_gmxMaGbHBZDR30sdEZ9HU-uLxtHGRWe8i09UMIkw4QY9PvwjW6cLoNcHPaC_S-eXxbP-fb16eX9WqbWypUzEFRJYUujJFFKZ0UignNCs5LZiTD1hguBZVWOmZ4LWlteOlwzWsOkhKi2QLdT7kHP3yOEGLVNcFC2-oehjFUgrEy1UITSCfw51gPrjr4ptP-qyK4OhZX_S0ume5O6aPpoP61nJpKwHICgt5BtR9G36dv_4v8BlP7dE4</recordid><startdate>200305</startdate><enddate>200305</enddate><creator>Volicer, Ladislav</creator><creator>Hurley, Ann C.</creator><creator>Blasi, Zuzka V.</creator><general>Sage Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200305</creationdate><title>Characteristics of dementia end-of-life care across care settings</title><author>Volicer, Ladislav ; Hurley, Ann C. ; Blasi, Zuzka V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c279t-e92987a5bb8568f87937a354463b830cbb48728c8f3b4d82db46f0d4d4e8211a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Aged</topic><topic>Alzheimer Disease - psychology</topic><topic>Alzheimer Disease - therapy</topic><topic>Analysis of Variance</topic><topic>Caregivers</topic><topic>Dementia - psychology</topic><topic>Dementia - therapy</topic><topic>Geriatric Psychiatry</topic><topic>Home Care Services - standards</topic><topic>Home Care Services - utilization</topic><topic>Hospice Care - standards</topic><topic>Hospice Care - utilization</topic><topic>Humans</topic><topic>Nursing</topic><topic>Pain - drug therapy</topic><topic>Quality of Health Care</topic><topic>Retrospective Studies</topic><topic>Terminal Care - standards</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Volicer, Ladislav</creatorcontrib><creatorcontrib>Hurley, Ann C.</creatorcontrib><creatorcontrib>Blasi, Zuzka V.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of hospice & palliative medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Volicer, Ladislav</au><au>Hurley, Ann C.</au><au>Blasi, Zuzka V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Characteristics of dementia end-of-life care across care settings</atitle><jtitle>American journal of hospice & palliative medicine</jtitle><addtitle>Am J Hosp Palliat Care</addtitle><date>2003-05</date><risdate>2003</risdate><volume>20</volume><issue>3</issue><spage>191</spage><epage>200</epage><pages>191-200</pages><issn>1049-9091</issn><eissn>1938-2715</eissn><abstract>End-of-life care for persons with dementia in different care settings was retrospectively surveyed. In this sample, care recipients receiving hospice care and pain control stayed at home longer and were more likely to die at home. Psychiatric symptoms increased caregiver burden and were the most common reason for admission to an institution, and psychiatric care was associated with longer stay at home. Presence of advance directives decreased hospital stay and increased the likelihood of dying in a nursing home. Care recipients dying at home had fewer symptoms and less discomfort than care recipients dying in other settings. These results indicate that quality end-of-life care can be provided at home and is facilitated by hospice programs, effective pain control, and psychiatric care.</abstract><cop>Thousand Oaks, CA</cop><pub>Sage Publications</pub><pmid>12785040</pmid><doi>10.1177/104990910302000307</doi><tpages>10</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1049-9091 |
ispartof | American journal of hospice & palliative medicine, 2003-05, Vol.20 (3), p.191-200 |
issn | 1049-9091 1938-2715 |
language | eng |
recordid | cdi_proquest_miscellaneous_73361172 |
source | SAGE Complete A-Z List; MEDLINE; Journals@Ovid Complete |
subjects | Aged Alzheimer Disease - psychology Alzheimer Disease - therapy Analysis of Variance Caregivers Dementia - psychology Dementia - therapy Geriatric Psychiatry Home Care Services - standards Home Care Services - utilization Hospice Care - standards Hospice Care - utilization Humans Nursing Pain - drug therapy Quality of Health Care Retrospective Studies Terminal Care - standards United States |
title | Characteristics of dementia end-of-life care across care settings |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-27T23%3A54%3A01IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Characteristics%20of%20dementia%20end-of-life%20care%20across%20care%20settings&rft.jtitle=American%20journal%20of%20hospice%20&%20palliative%20medicine&rft.au=Volicer,%20Ladislav&rft.date=2003-05&rft.volume=20&rft.issue=3&rft.spage=191&rft.epage=200&rft.pages=191-200&rft.issn=1049-9091&rft.eissn=1938-2715&rft_id=info:doi/10.1177/104990910302000307&rft_dat=%3Cproquest_cross%3E73361172%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=73361172&rft_id=info:pmid/12785040&rft_sage_id=10.1177_104990910302000307&rfr_iscdi=true |