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...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:American journal of hospice & palliative medicine 2003-05, Vol.20 (3), p.191-200
Hauptverfasser: Volicer, Ladislav, Hurley, Ann C., Blasi, Zuzka V.
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 &amp; 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 &amp; 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 &amp; 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 &amp; 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