What factors predict the confidence of palliative care delivery in long‐term care staff? A mixed‐methods study

2019 ◽  
Vol 15 (2) ◽  
Author(s):  
Rosemary Frey ◽  
Deborah Balmer ◽  
Jackie Robinson ◽  
Michal Boyd ◽  
Merryn Gott
Keyword(s):  
Palliative Care ◽  
Mixed Methods ◽  
Long Term Care ◽  
Care Delivery ◽  
Mixed Methods Study ◽  
Care Staff ◽  
Term Care

Combating Coronavirus Disease-2019 Outbreak in Long-Term Care Facilities for Frail Older Adults: Preventive Measures and Palliative Care Go Hand-in-Hand

2021 ◽  
pp. 082585972110393
Author(s):  
Hon Wai Benjamin Cheng
Keyword(s):  
Palliative Care ◽  
Long Term Care ◽  
Care Delivery ◽  
Nursing Home Residents ◽  
Respiratory Illness ◽  
Term Care ◽  
The People ◽  
Care Facilities ◽  
Novel Coronavirus

While the whole population is at risk from infection with the coronavirus, older people—often frail and subject to multimorbidity—are at the highest risk for the severe and fatal disease. Despite strict infection control and social distancing measures, frail adults in long-term care facilities may be at particular risk of transmission of respiratory illness. Treatment decisions are often complex attributed to the heterogeneity of this population with regards to different geriatric domains such as functional status, comorbidity, and poly-pharmacy. While measures must be taken to prevent the novel coronavirus from spreading through these facilities, it is also essential that residents with coronavirus disease 2019 (COVID-19) have access to the symptom management and support they want and deserve. What most nursing home residents want during the course of their illness is to be able to stay in their facilities, to be surrounded by the people they love most, and to feel relief from their physical and emotional pain. By addressing the limited access to hospice and palliative care delivery in nursing homes, we can prevent unnecessary suffering and pain from COVID-19 as well as lay the groundwork for improving care for all residents moving forward.

scholarly journals Staff Perspectives of Barriers to Access and Delivery of Palliative Care for Persons With Dementia in Long-Term Care

2018 ◽  
Vol 33 (5) ◽  
pp. 284-291 ◽  
Author(s):  
Emily Hill ◽  
Marie Y. Savundranayagam ◽  
Aleksandra Zecevic ◽  
Marita Kloseck
Keyword(s):  
Palliative Care ◽  
Long Term Care ◽  
Care Staff ◽  
Term Care ◽  
Palliative Care Education ◽  
Barriers To Access ◽  
Communication Difficulties ◽  
Phenomenological Methodology

Dementia is a syndrome that is progressive, degenerative, and terminal. The palliative care philosophy aims to maximize quality of life for the dying individual and is both beneficial for and underused with persons dying with dementia. Objectives: The purpose of this study was to investigate the experiences of long-term care staff delivering palliative care to individuals with dementia to determine how care was delivered, to learn which guidelines were used, and whether policies affected the delivery of palliative care. Methods: Twenty-two staff participants were interviewed. Their experiences were interpreted using phenomenological methodology. Results: Findings yielded 3 key themes: confusion, resource shortages, and communication difficulties. Conclusion: Implications for practice include clarification of terminology surrounding palliative care, education of families about dementia and palliative care, better resource management, and the need to address when palliative care best fits within the dementia process.

Palliative care for advanced dementia: Knowledge and attitudes of long‐term care staff

2017 ◽  
Vol 27 (3-4) ◽  
pp. 848-858 ◽  
Author(s):  
I‐Hui Chen ◽  
Kuan‐Yu Lin ◽  
Sophia H Hu ◽  
Yeu‐Hui Chuang ◽  
Carol O Long ◽  
...  
Keyword(s):  
Palliative Care ◽  
Long Term Care ◽  
Care Staff ◽  
Advanced Dementia ◽  
Term Care ◽  
Knowledge And Attitudes

Predicting institutional long-term care admission in dementia: a mixed-methods study of informal caregivers’ reports

2014 ◽  
Vol 71 (6) ◽  
pp. 1351-1362 ◽  
Author(s):  
Basema Afram ◽  
Hilde Verbeek ◽  
Michel H.C. Bleijlevens ◽  
David Challis ◽  
Helena Leino-Kilpi ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Long Term Care ◽  
Informal Caregivers ◽  
Mixed Methods Study ◽  
Term Care

scholarly journals Hospice and Non-Hospice Models of Palliative Care Delivery in Long-Term Care (327)

2010 ◽  
Vol 39 (2) ◽  
pp. 361
Author(s):  
Amy Corcoran ◽  
Deborah Way ◽  
Betty Lim ◽  
Laura Hanson
Keyword(s):  
Palliative Care ◽  
Long Term Care ◽  
Care Delivery ◽  
Term Care

scholarly journals Emergencies in Long-Term Care Services for the Elderly in Korea: A Mixed-Methods Study

2019 ◽  
Vol 17 (1) ◽  
pp. 66
Author(s):  
Soon Ok Kim ◽  
Sun Hee Bae
Keyword(s):  
Mixed Methods ◽  
Emergency Response ◽  
Long Term Care ◽  
The Elderly ◽  
Home Care Services ◽  
Mixed Methods Study ◽  
Term Care ◽  
Emergency Situations ◽  
Care Services

This mixed-methods study explored ways to enhance the emergency response abilities of workers in long-term care services for the elderly. Based on different service types, we identify emergency situations and the response abilities of workers in long-term care services. Results indicated that there are more emergency situations in care facilities than in home care services. However, 71.3% of respondents in facilities said emergency response abilities were low compared to 44.2% of workers in home care services. Qualitative research identified six categories and 16 themes based on emotions experienced during emergencies and the challenges in determining solutions. The study confirms that there is a difference in emergency incidences and the coping abilities of workers in facilities and home services with high emergency incidence rates. Developing and applying guidelines for emergency response management by service type is recommended.

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