Palliative Care for Advanced Dementia: A Pilot Project in 2 Nursing Homes

被引：15
|
作者：
Kuhn, Daniel R. [1 ]
Forrest, Jeannine M. [1 ]
机构：
[1] Rainbow Hosp & Palliat Care, Mt Prospect, IL 60056 USA
来源：
AMERICAN JOURNAL OF ALZHEIMERS DISEASE AND OTHER DEMENTIAS | 2012年 / 27卷 / 01期
关键词：
advanced dementia; palliative care; nursing homes; intervention; LIFE CARE; RESIDENTS; BARRIERS; TURNOVER; QUALITY; END;
D O I：
10.1177/1533317511432732
中图分类号：
R592 [老年病学]; C [社会科学总论];
学科分类号：
03 ; 0303 ; 100203 ;
摘要：
This article describes a pilot project involving training, case consultations, and administrative coaching over a period of 1 year aimed at introducing palliative care in 2 nursing homes among 31 residents with advanced dementia. Resident outcomes that examined numerous clinical measures were assessed at 3 points in time. Changes in the knowledge and attitudes of 80 staff members and 33 family members who participated in the multimodal intervention were also assessed at 3 points in time. Limited improvements were demonstrated on measures for residents, staff members, and family members at the first nursing home (site 1) and significant improvements were demonstrated at the other nursing home (site 2). Top leadership turned over 3 times at site 1 which limited the integration of palliative care, whereas leadership of site 2 remained stable. Implications for implementing a program of palliative care in nursing homes are discussed.
引用
收藏
页码：33 / 40
页数：8
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