scholarly journals Evaluating person‐centredness for frail older persons in nursing homes before and after implementing a palliative care intervention

Nursing Open ◽  
2019 ◽  
Vol 7 (1) ◽  
pp. 439-448 ◽  
Author(s):  
Christina Bökberg ◽  
Lina Behm ◽  
Birgitta Wallerstedt ◽  
Gerd Ahlström
Keyword(s):  
Palliative Care ◽  
Nursing Homes ◽  
Older Persons ◽  
Care Intervention ◽  
Before And After ◽  
Frail Older Persons

How do they view us? Oncology providers’ perceptions of early/concurrent palliative care.

2015 ◽  
Vol 33 (29_suppl) ◽  
pp. 114-114
Author(s):  
Dilip Sankar Babu ◽  
J Nicholas Dionne-Odom ◽  
Lisa Zubkoff ◽  
Tasha Smith ◽  
Marie Bakitas
Keyword(s):  
Palliative Care ◽  
Survey Instrument ◽  
Early Integration ◽  
Early Palliative Care ◽  
Care Intervention ◽  
Before And After ◽  
Anticancer Treatment ◽  
Original Survey ◽  
Oncology Practice ◽  
Oncology Providers

114 Background: Early integration of palliative care has been increasingly recognized as an important component in the care of cancer patients, including during active anticancer treatment. Yet, palliative and supportive care interventions remain to be well integrated into standard oncology practice. We sought to develop an original survey instrument in order to describe oncology providers’ perceptions of palliative care, particularly when introduced in the early and concurrent setting. Methods: We conducted a systematic review of literature pertaining to perceptions of palliative care and barriers to referral, and extracted survey items where they were found. This pool of questions was narrowed to focus on early/concurrent palliative care, and supplemented with original items. The draft survey was then systematically validated using a standardized scoring system and content-validity approach. Results: Twenty-two studies were reviewed. From an initial pool of fifty items, twenty-nine were selected for the draft survey. The draft was then reviewed by ten oncology providers, who scored each item and provided comments. Conclusions: We have produced a fully validated survey instrument that will be used to characterize oncology providers’ perceptions of early and concurrent palliative care interventions. The validated survey will be administered to oncology clinicians (including nurses, social workers and chaplains) at four academic medical centers at which an early palliative care intervention is currently being implemented. We hope to assess perceptions before and after implementation of the early palliative care intervention.

scholarly journals Atypical symptoms, SARS-CoV-2 test results, and immunization rates in 456 residents from eight nursing homes facing a COVID-19 outbreak

2021 ◽  
Author(s):  
Hubert Blain ◽  
Lucie Gamon ◽  
Edouard Tuaillon ◽  
Amandine Pisoni ◽  
Nadia Giacosa ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Behavioural Change ◽  
Testing Temperature ◽  
Control Measures ◽  
Test Results ◽  
Atypical Symptoms ◽  
Infection Control Measures ◽  
Immunization Rates ◽  
Before And After ◽  
Frail Older Persons

Abstract Background Frail older persons may have an atypical presentation of COVID-19. The value of rRT-PCR testing for identifying SARS-CoV-2 nursing homes (NH) residents is not known. Objective To determine whether (i) atypical symptoms may predict rRT-PCR results and (ii) rRT-PCR results may predict immunization against SARS-CoV-2 in NH residents. Design A retrospective longitudinal study. Setting eight NHs with at least ten rRT-PCR-positive residents. Subjects 456 residents. Methods Typical and atypical symptoms recorded in residents’ files during the 14 days before and after rRT-PCR testing were analyzed. Residents underwent blood testing for IgG-SARS-CoV-2 nucleocapsid protein 6 to 8 weeks after testing. Univariate and multivariate analyses compared symptoms and immunization rates in rRT-PCR-positive and negative residents. Results 161 residents had a positive rRT-PCR (35.3%), 17.4% of whom were asymptomatic before testing. Temperature > 37.8°C, oxygen saturation < 90%, unexplained anorexia, behavioural change, exhaustion, malaise, and falls before testing were independent predictors of a further positive rRT-PCR. Among the rRT-PCR-positive residents, 95.2% developed SARS-CoV-2 antibodies vs 7.6% in the rRT-PCR-negative residents. Among the residents with a negative rRT-PCR, those who developed SARS-CoV-2 antibodies more often had typical or atypical symptoms (p = 0.02 and < 0.01, respectively). Conclusion This study supports a strategy based on (i) testing residents with typical or unexplained atypical symptoms for an early identification of the first SARS-CoV-2 cases, (ii) rT-PCR testing for identifying COVID-19 residents, (iii) repeated wide-facility testing (including asymptomatic cases) as soon as a resident is tested positive for SARS-CoV-2, and (iv) implementing SARS-CoV-2 infection control measures in rRT-PCR-negative residents when they have unexplained typical or atypical symptoms.

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