Potentially disruptive medical, surgical, and social events—such as pneumonia, hip fracture, and widowhood—may accelerate the trajectory of decline and impact caregiving needs in older adults, especially among people with dementia (PWD). Prior research has focused primarily on nursing home residents with dementia. We sought to assess the incidence of potentially disruptive events in community‐dwelling...
Paid caregivers (eg, home health aides and personal care attendants) provide hands‐on care that helps individuals with dementia live in the community. This study (a) characterizes paid caregiving among community‐dwelling individuals with dementia and (b) identifies factors associated with receipt of paid care.
The 2015 National Health and Aging...
Background Achieving choice is proposed as a quality marker. But little is known about what influences preferences especially among older adults. We aimed to determine and compare, across three countries, factors associated with preferences for place of death and treatment, and actual site of death. Methods We recruited adults aged ≥65-years from hospital-based multiprofessional palliative care...
Inpatient hospital stays account for more than a third of direct medical cancer care costs. Evidence on factors driving these costs can inform planning of services, as well as consideration of equity in access.
To measure the association between hospital costs, and demographic, clinical, and system factors, for a cohort of adults with advanced cancer.
To create and test three prospective, increasingly restrictive definitions of serious illness.
Health and Retirement Study, 2000–2012.
We evaluated subjects’ 1‐year outcomes from the interview date when they first met each definition: (A) one or more severe medical conditions (Condition) and/or receiving assistance with activities of daily living (Functional...
To compared outcomes of regional nerve blocks with those of standard analgesics after hip fracture.
Multisite randomized controlled trial from April 2009 to March 2013.
Three New York hospitals.
Individuals with hip fracture (N = 161).
Participants were randomized to receive an ultrasound‐guided, single‐injection, femoral nerve block administered...
ObjectiveTo evaluate the sensitivity of treatment effect estimates when length of stay (LOS) is used to control for unobserved heterogeneity when estimating treatment effect on cost of hospital admission with observational data.
Data Sources/Study SettingWe used data from a prospective cohort study on the impact of palliative care consultation teams (PCCTs) on direct cost of hospital care. Adult...
Family satisfaction is an important and commonly used research measure. Yet current measures of family satisfaction are lengthy and may be unnecessarily burdensome—particularly in the setting of serious illness.To use an item bank to develop short forms of the Family Satisfaction with End-of-Life Care (FAMCARE) scale, which measures family satisfaction with care.To shorten the existing 20-item FAMCARE...
BackgroundThe American College of Emergency Physicians and the American Society of Clinical Oncology recommend early palliative care consultation for patients with advanced, life‐limiting illnesses, such as metastatic cancer.
ObjectivesThe objectives were to assess the process of early referral from the emergency department (ED) to palliative care for patients with advanced, incurable cancer as part...
Financed by the National Centre for Research and Development under grant No. SP/I/1/77065/10 by the strategic scientific research and experimental development program:
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