JAMDA
November 13, 2020
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Showing 31 - 40 of 83 results
JAMDA
October 26, 2020
Staff Training Interventions to Improve End-of-Life Care of Nursing Home Residents: A Systematic Review
The aim was to review evidence from all randomized controlled trials (RCTs) using palliative care education or staff training as an intervention to improve nursing home residents' quality of life (QOL) or quality of dying (QOD) or to reduce burdensome hospitalizations.
JAMDA
October 9, 2020
Sedatives and Sedation at the End of Life in Nursing Homes: A Retrospective Multicenter Cohort Study
There is scarce information about sedation in nursing homes at the end of life. We aimed to assess (1) the use of sedatives generally and “sedatives with continuous effect,” based on objective operational criteria, within the last week of life in nursing homes and (2) factors associated with this treatment...
JAMDA
August 4, 2020
Advance Directive Completion and Its Associated Factors Among Older Chinese Americans
To examine the factors of advance directive (AD) completion among older Chinese Americans.
JAMDA
July 28, 2020
End-of-Life Care among Nursing Home Residents with Dementia Varies by Nursing Home and Market Characteristics
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 ob...
JAMDA
July 25, 2020
Antihypertensive Deprescribing in Older Adult Veterans at End of Life Admitted to Veteran Affairs Nursing Homes
Geriatric palliative care approaches support deprescribing of antihypertensives in older nursing home (NH) residents with limited life expectancy and/or advanced dementia (LLE/AD) who are intensely treated for hypertension (HTN), but information on real-world deprescribing patterns in this population is li...
JAMDA
July 18, 2020
Instability in Preference for Place of Death Among Patients With Symptoms of Advanced Heart Failure
Patient preference for place of death is an important component of advance care planning (ACP). If patients’ preference for place of death changes over time, this questions the value of their documented preference. We aimed to assess the extent and correlates of change in preference for place of death over...
JAMDA
July 6, 2020
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
PACE Steps to Success is a 1-year train-the-trainer program aiming to integrate nonspecialist palliative care into nursing homes via staff education and organizational support. In this study, we aimed to explore whether this program resulted in changes in residents' hospital use and place of death. ...
JAMDA
June 3, 2020
A Structured Tool for Communication and Care Planning in the Era of the COVID-19 Pandemic
Residents in long-term care settings are particularly vulnerable to COVID-19 infections and, compared to younger adults, are at higher risk of poor outcomes and death. Given the poor prognosis of resuscitation outcomes for COVID-19 in general, the specter of COVID-19 in long-term care residents should prom...
Podcast
April 30, 2020
