dc.contributor.author |
Frey, Rosemary |
|
dc.contributor.author |
Balmer, Deborah |
|
dc.contributor.author |
Robinson, Jackie |
|
dc.contributor.author |
Gott, Merryn |
|
dc.contributor.author |
Boyd, Michal |
|
dc.coverage.spatial |
United States |
|
dc.date.accessioned |
2023-07-25T02:19:02Z |
|
dc.date.available |
2023-07-25T02:19:02Z |
|
dc.date.issued |
2019-03 |
|
dc.identifier.citation |
(2019). Journal of Pain and Symptom Management, 57(3), 545-555.e1. |
|
dc.identifier.issn |
0885-3924 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/65018 |
|
dc.description.abstract |
<h4>Context</h4>In most resource-rich countries, a large and growing proportion of older adults with complex needs will die while in a residential aged care (RAC) facility.<h4>Objectives</h4>This study describes the impact of facility size (small/large), ownership model (profit/nonprofit) and provider (independent/chain) on resident comfort, and symptom management as reported by RAC staff.<h4>Methods</h4>This retrospective "after-death" study collected decedent resident data from a subsample of 51 hospital-level RAC facilities in New Zealand. Symptom Management at the End-of-Life in Dementia and Comfort Assessment in Dying at End of life with Dementia (SM-EOLD and CAD-EOLD, respectively) scales were used by RAC staff who were closely associated with 217 deceased residents. Data collection occurred from January 2016 to February 2017.<h4>Results</h4>Results indicated that residents of large, nonprofit facilities experienced greater comfort at the end of life (CAD-EOLD) as indicated by a higher mean score of 37.21 (SD = 4.85, 95% CI = 34.4, 40.0) than residents of small for-profit facilities who recorded a lower mean score of 31.56 (SD = 6.20, 95% CI = 29.6, 33.4). There was also evidence of better symptom management for residents of chain facilities, with a higher mean score for symptom management (SM-EOLD total score) recorded for residents of chain facilities (mean = 28.07, SD = 7.64, 95% CI = 26.47, 29.66) than the mean score for independent facilities (mean = 23.93, SD = 8.72, 95% CI = 21.65, 26.20).<h4>Conclusion</h4>Findings suggest that there are differences in the quality of end-of-life care given in RAC based on size, ownership model, and chain affiliation. |
|
dc.format.medium |
Print-Electronic |
|
dc.language |
eng |
|
dc.publisher |
Elsevier |
|
dc.relation.ispartofseries |
Journal of pain and symptom management |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
https://creativecommons.org/licenses/by-nc-nd/4.0/ |
|
dc.subject |
Humans |
|
dc.subject |
Death |
|
dc.subject |
Terminal Care |
|
dc.subject |
Ownership |
|
dc.subject |
Aged |
|
dc.subject |
Aged, 80 and over |
|
dc.subject |
Homes for the Aged |
|
dc.subject |
Nursing Homes |
|
dc.subject |
Patient Satisfaction |
|
dc.subject |
Quality of Health Care |
|
dc.subject |
Female |
|
dc.subject |
Male |
|
dc.subject |
Residential aged care |
|
dc.subject |
aging |
|
dc.subject |
chain affiliation |
|
dc.subject |
end of life |
|
dc.subject |
older people |
|
dc.subject |
ownership model |
|
dc.subject |
palliative |
|
dc.subject |
Clinical Research |
|
dc.subject |
Acquired Cognitive Impairment |
|
dc.subject |
Health Services |
|
dc.subject |
Brain Disorders |
|
dc.subject |
Prevention |
|
dc.subject |
Science & Technology |
|
dc.subject |
Life Sciences & Biomedicine |
|
dc.subject |
Health Care Sciences & Services |
|
dc.subject |
Medicine, General & Internal |
|
dc.subject |
Clinical Neurology |
|
dc.subject |
General & Internal Medicine |
|
dc.subject |
Neurosciences & Neurology |
|
dc.subject |
LONG-TERM-CARE |
|
dc.subject |
NURSING-HOME RESIDENTS |
|
dc.subject |
QUALITY-OF-LIFE |
|
dc.subject |
FOR-PROFIT |
|
dc.subject |
RETIREMENT VILLAGES |
|
dc.subject |
SIGNIFICANT OTHERS |
|
dc.subject |
CULTURE CHANGE |
|
dc.subject |
HOSPICE |
|
dc.subject |
PEOPLE |
|
dc.subject |
PERFORMANCE |
|
dc.subject |
1117 Public Health and Health Services |
|
dc.subject |
Clinical |
|
dc.subject |
Health Services Research |
|
dc.subject |
Pediatric Research Initiative |
|
dc.subject |
Generic Health Relevance |
|
dc.subject |
11 Medical and Health Sciences |
|
dc.title |
The Effect of Residential Aged Care Size, Ownership Model, and Multichain Affiliation on Resident Comfort and Symptom Management at the End of Life. |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1016/j.jpainsymman.2018.11.022 |
|
pubs.issue |
3 |
|
pubs.begin-page |
545 |
|
pubs.volume |
57 |
|
dc.date.updated |
2023-06-28T05:12:53Z |
|
dc.rights.holder |
Copyright: American Academy of Hospice and Palliative Medicine |
en |
dc.identifier.pmid |
30508638 (pubmed) |
|
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/30508638 |
|
pubs.end-page |
555.e1 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Research Support, Non-U.S. Gov't |
|
pubs.subtype |
Journal Article |
|
pubs.elements-id |
764055 |
|
pubs.org-id |
Medical and Health Sciences |
|
pubs.org-id |
Nursing |
|
dc.identifier.eissn |
1873-6513 |
|
dc.identifier.pii |
S0885-3924(18)31091-1 |
|
pubs.record-created-at-source-date |
2023-06-28 |
|
pubs.online-publication-date |
2018-12 |
|