scholarly journals The occurrence and risk factors of constipation in inpatient palliative care unit patients vs. nursing home residents

2018 ◽  
Vol 13 (4) ◽  
pp. 299-304
Author(s):  
Tomasz Dzierżanowski ◽  
Aleksandra Ciałkowska-Rysz
Keyword(s):  
Risk Factors ◽  
Palliative Care ◽  
Nursing Home ◽  
Nursing Home Residents ◽  
Palliative Care Unit

scholarly journals Advanced cognitive impairment among older nursing home residents

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tadeja Gracner ◽  
Patricia W. Stone ◽  
Mansi Agarwal ◽  
Mark Sorbero ◽  
Susan L Mitchell ◽  
...  
Keyword(s):  
Risk Factors ◽  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Nursing Home ◽  
Cognitive Impairment ◽  
Mortality Risk ◽  
Advanced Disease ◽  
Nursing Home Residents ◽  
Functional Score ◽  
Data Set

Abstract Background Though work has been done studying nursing home (NH) residents with either advanced Alzheimer’s disease (AD) or Alzheimer’s disease related dementia (ADRD), none have distinguished between them; even though their clinical features affecting survival are different. In this study, we compared mortality risk factors and survival between NH residents with advanced AD and those with advanced ADRD. Methods This is a retrospective observational study, in which we examined a sample of 34,493 U.S. NH residents aged 65 and over in the Minimum Data Set (2011–2013). Incident assessment of advanced disease was defined as the first MDS assessment with severe cognitive impairment (Cognitive Functional Score equals to 4) and diagnoses of AD or ADRD. Demographics, functional limitations, and comorbidities were evaluated as mortality risk factors using Cox models. Survival was characterized with Kaplan-Maier functions. Results Of those with advanced cognitive impairment, 35 % had AD and 65 % ADRD. At the incident assessment of advanced disease, those with AD had better health compared to those with ADRD. Mortality risk factors were similar between groups (shortness of breath, difficulties eating, substantial weight-loss, diabetes mellitus, heart failure, chronic obstructive pulmonary disease, and pneumonia; all p < 0.01). However, stroke and difficulty with transfer (for women) were significant mortality risk factors only for those with advanced AD. Urinary tract infection, and hypertension (for women) only were mortality risk factors for those with advanced ADRD. Median survival was significantly shorter for the advanced ADRD group (194 days) compared to the advanced AD group (300 days). Conclusions There were distinct mortality and survival patterns of NH residents with advanced AD and ADRD. This may help with care planning decisions regarding therapeutic and palliative care.

scholarly journals Risk Factors for Adverse Drug Events Among Nursing Home Residents

2001 ◽  
Vol 161 (13) ◽  
pp. 1629 ◽  
Author(s):  
Terry S. Field ◽  
Jerry H. Gurwitz ◽  
Jerry Avorn ◽  
Danny McCormick ◽  
Shailavi Jain ◽  
...  
Keyword(s):  
Risk Factors ◽  
Nursing Home ◽  
Adverse Drug Events ◽  
Nursing Home Residents

Health and Care Related Risk Factors for Suicide Among Nursing Home Residents: A Data Linkage Study

2018 ◽  
Vol 49 (3) ◽  
pp. 695-706 ◽  
Author(s):  
Briony Murphy ◽  
Briohny Kennedy ◽  
Catherine Martin ◽  
Lyndal Bugeja ◽  
Melissa Willoughby ◽  
...  
Keyword(s):  
Risk Factors ◽  
Nursing Home ◽  
Data Linkage ◽  
Nursing Home Residents ◽  
Linkage Study ◽  
Related Risk ◽  
Risk Factors For Suicide

Does Integration of Palliative Care and Infection Management Reduce Hospital Transfers among Nursing Home Residents?

2021 ◽  
Author(s):  
Jordan M. Harrison ◽  
Mansi Agarwal ◽  
Patricia W. Stone ◽  
Tadeja Gracner ◽  
Mark Sorbero ◽  
...  
Keyword(s):  
Palliative Care ◽  
Nursing Home ◽  
Nursing Home Residents ◽  
Infection Management

scholarly journals PREVALENCE AND PREDICTORS OF STATIN USE IN LONG-STAY NURSING HOME RESIDENTS WITH LIFE-LIMITING ILLNESSES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S861-S861
Author(s):  
Deborah S Mack ◽  
Kate L Lapane
Keyword(s):  
Palliative Care ◽  
Nursing Home ◽  
Nursing Home Residents ◽  
The United States ◽  
Veterans Health ◽  
Health Administration ◽  
Home Setting ◽  
Palliative Care Consultation ◽  
Care Consultation ◽  
Statin Use

Abstract Statins are one of the most commonly prescribed medications in the United States. While statin use has been studied extensively in the general population, national data on statin use in US nursing homes do not exist. This study estimated the point prevalence of statin use on September 1, 2016 and identified predictors of statin use in nursing home residents with life limiting illness. We conducted a cross-sectional analysis using national MDS 3.0 data linked to Medicare claims. We identified 424,312 long-stay residents with life limiting illnesses defined as a palliative care consultation (ICD-10 Z51.5), prognosis &lt;6 months on MDS, the Veterans Health Administration palliative care index (PCI), or a diagnosis of a serious illness (e.g., cancer, stroke, heart failure, etc.). Poisson models accounted for clustering of residents within facilities. Overall, 34% were on statins which varied by age (65-75 years: 44.1%; &gt;75 years: 31.5%). The strongest positive predictor of statin use was hyperlipidemia, while coronary artery disease and stroke were only marginally predictive across age. The strongest negative predictors were a palliative care consultation or a prognosis &lt;6 months, while PCI was not strongly associated with use. A substantial proportion of long stay nursing home residents with life limiting illnesses continue statin therapy despite evidence of net harm. Efforts to deprescribe statins in the nursing home setting may be warranted. These findings can be used to help identify and target missed opportunities to reduce the therapeutic burden and improve end-of-life care for the US nursing home population.

Malnutrition and Its Risk Factors in Nursing Home Residents in Cairo

2009 ◽  
Vol 57 (9) ◽  
pp. 1716-1718 ◽  
Author(s):  
Moatassem S. Amer ◽  
Shereen M. Mousa ◽  
Tomader T. Abdel Rahman ◽  
Heba G. Saber
Keyword(s):  
Risk Factors ◽  
Nursing Home ◽  
Nursing Home Residents

Risk factors associated with accidental falls among Italian nursing home residents: A longitudinal study (FRAILS)

2020 ◽  
Vol 41 (2) ◽  
pp. 75-80
Author(s):  
Anna Castaldo ◽  
Andrea Giordano ◽  
Raffaele Antonelli Incalzi ◽  
Maura Lusignani
Keyword(s):  
Risk Factors ◽  
Nursing Home ◽  
Longitudinal Study ◽  
Accidental Falls ◽  
Nursing Home Residents ◽  
Factors Associated

scholarly journals Nursing home staff’s perspective on end-of-life care of German nursing home residents: a cross-sectional survey

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Anke Strautmann ◽  
Katharina Allers ◽  
Alexander Maximilian Fassmer ◽  
Falk Hoffmann
Keyword(s):  
Palliative Care ◽  
Nursing Home ◽  
Nursing Homes ◽  
End Of Life ◽  
Nursing Staff ◽  
End Of Life Care ◽  
Nursing Home Residents ◽  
Hospital Death ◽  
Life Care ◽  
Cross Sectional

Abstract Background Nursing homes are becoming more important for end-of-life care. Within the industrialised world, Germany is among the countries with the most end-of-life hospitalizations in nursing home residents. To improve end-of-life care, investigation in the status quo is required. The objective was to gain a better understanding of the perspectives of nursing home staff on the current situation of end-of-life care in Germany. Methods A cross-sectional study was conducted as a postal survey among a random sample of 1069 German nursing homes in 2019. The survey was primarily addressed to nursing staff management. Data was analyzed using descriptive statistics. Staff was asked to rate different items regarding common practices and potential deficits of end-of-life care on a 5-point-Likert-scale. Estimations of the proportions of in-hospital deaths, residents with advance directives (AD), cases in which documented ADs were ignored, and most important measures for improvement of end-of-life care were requested. Results 486 (45.5%) questionnaires were returned, mostly by nursing staff managers (64.7%) and nursing home directors (29.9%). 64.4% of the respondents rated end-of-life care rather good, the remainder rated it as rather bad. The prevalence of in-hospital death was estimated by the respondents at 31.5% (SD: 19.9). Approximately a third suggested that residents receive hospital treatments too frequently. Respondents estimated that 45.9% (SD: 21.6) of the residents held ADs and that 28.4% (SD: 26.8) of available ADs are not being considered. Increased staffing, better qualification, closer involvement of general practitioners and better availability of palliative care concepts were the most important measures for improvement. Conclusions Together with higher staffing, better availability and integration of palliative care concepts may well improve end-of-life care. Prerequisite for stronger ties between nursing home and palliative care is high-quality education of those involved in end-of-life care.

Sign in / Sign up

Export Citation Format

Share Document