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Families' perception of the added value of hospice in the nursing home
Author(s)Wendy M Baer, Laura C Hanson
Journal titleJournal of the American Geriatrics Society, vol 48, no 8, August 2000
Pagespp 879-882
KeywordsTerminal care ; Nursing homes ; Management [care] ; Quality ; The Family ; Social surveys ; United States of America.
AnnotationThe authors' study in North Carolina determined whether surviving family members perceived benefit from hospice for their relatives dying in nursing homes. Family members were questioned specifically on: the quality of care for symptoms before and after hospice; the added monetary value of hospice; the effect of hospice on hospitalisation; and special services provided by nursing home or by hospice staff. 272 family members completed surveys. The average age of the nursing home residents who had received hospice care was 79.5 years. 50% had cancer, and 76% were dependent for self-care. In their last 3 months, 70% of decedents had severe or moderate pain, 56% severe or moderate dyspnoea, and 61% other symptoms. Quality of care for physical symptoms was rated good or excellent by 64% of family before hospice, and by 93% after hospice. Dying residents' emotional needs included care for moderate or severe depression (47%), anxiety (50%), and loneliness (35%). Quality of care for emotional needs was rated good or excellent by 64% and 90% after hospice. 53% of respondents believed hospice prevented hospitalisations. There was an overall belief in the distinct special services provided by nursing home hospice. (RH).
Accession NumberCPA-001020204 A
ClassmarkLV: LHB: QA: 59: SJ: 3F: 7T

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