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IAGG/IAGG GARN International Survey of End-of-Life Care in Nursing Homes.

Identifieur interne : 000B27 ( PubMed/Corpus ); précédent : 000B26; suivant : 000B28

IAGG/IAGG GARN International Survey of End-of-Life Care in Nursing Homes.

Auteurs : Cara L. Wallace ; Daniel Swagerty ; Mario Barbagallo ; Bruno Vellas ; Heung Bong Cha ; Iva Holmerova ; Birong Dong ; Raymond Koopmans ; Alfonso J. Cruz-Jentoft ; Luis Miguel Gutierrez Robledo ; Juan Cuadros Moreno ; Ramzi Hajjar ; Jean Woo ; Hidenori Arai ; Jiro Okochi ; Renuka Visvanathan ; Samia A. Abdul-Rahman ; Ashish Goel ; Andrea Moser ; Yves Rolland ; Angela M. Abbatecola ; Marcello Russo ; John E. Morley

Source :

RBID : pubmed:28549702

Abstract

This article reports the findings of a survey on end-of-life (EOL) care in nursing homes of 18 long-term care experts across 15 countries. The experts were chosen as a convenience-based sample of known experts in each country. The survey was administered in 2016 and included both open-ended responses for defining hospice care, palliative care, and "end of life," and a series of questions related to the following areas-attitudes toward EOL care, current practice and EOL interventions, structure of care, and routine barriers. Overall experts strongly agreed that hospice and palliative care should be available in long-term care facilities and that both are defined by holistic, interdisciplinary approaches using measures of comfort across domains. However, it appears the experts felt that in most countries the reality fell short of what they believed would be ideal care. As a result, experts call for increased training, communication, and access to specialized EOL services within the nursing home.

DOI: 10.1016/j.jamda.2017.04.002
PubMed: 28549702

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pubmed:28549702

Le document en format XML

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<name sortKey="Cha, Heung Bong" sort="Cha, Heung Bong" uniqKey="Cha H" first="Heung Bong" last="Cha">Heung Bong Cha</name>
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<nlm:affiliation>Department of Primary and Community Care, Radboud University Medical Center, and Joachin en Anna, Center for Specialized Geriatric Care, Nijmegen, the Netherlands.</nlm:affiliation>
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<name sortKey="Cruz Jentoft, Alfonso J" sort="Cruz Jentoft, Alfonso J" uniqKey="Cruz Jentoft A" first="Alfonso J" last="Cruz-Jentoft">Alfonso J. Cruz-Jentoft</name>
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<name sortKey="Gutierrez Robledo, Luis Miguel" sort="Gutierrez Robledo, Luis Miguel" uniqKey="Gutierrez Robledo L" first="Luis Miguel" last="Gutierrez Robledo">Luis Miguel Gutierrez Robledo</name>
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<nlm:affiliation>Instituto Nacional de Geriatría, Institutos Nacionales de Salud de México, San Jerónimo Lídice, Mexico.</nlm:affiliation>
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<nlm:affiliation>Instituto Nacional de Geriatría, Institutos Nacionales de Salud de México, San Jerónimo Lídice, Mexico.</nlm:affiliation>
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<name sortKey="Hajjar, Ramzi" sort="Hajjar, Ramzi" uniqKey="Hajjar R" first="Ramzi" last="Hajjar">Ramzi Hajjar</name>
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<nlm:affiliation>Geriatric Medicine and Palliative Care, American University of Beirut Medical Center, Beirut, Lebanon.</nlm:affiliation>
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<name sortKey="Woo, Jean" sort="Woo, Jean" uniqKey="Woo J" first="Jean" last="Woo">Jean Woo</name>
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</affiliation>
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<name sortKey="Arai, Hidenori" sort="Arai, Hidenori" uniqKey="Arai H" first="Hidenori" last="Arai">Hidenori Arai</name>
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<nlm:affiliation>Deputy Director, National Center for Geriatrics and Gerontology, Obu, Japan.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Okochi, Jiro" sort="Okochi, Jiro" uniqKey="Okochi J" first="Jiro" last="Okochi">Jiro Okochi</name>
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<nlm:affiliation>Tatsumanosato Geriatric Health Services Facility, Daito, Japan.</nlm:affiliation>
</affiliation>
</author>
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<name sortKey="Visvanathan, Renuka" sort="Visvanathan, Renuka" uniqKey="Visvanathan R" first="Renuka" last="Visvanathan">Renuka Visvanathan</name>
<affiliation>
<nlm:affiliation>Adelaide Geriatrics and Training with Research in Aged Care (GTRAC) Centre, University of Adelaide and the Aged and Extended Care Services, Queen Elizabeth Hospital, Adelaide, Australia.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Abdul Rahman, Samia A" sort="Abdul Rahman, Samia A" uniqKey="Abdul Rahman S" first="Samia A" last="Abdul-Rahman">Samia A. Abdul-Rahman</name>
<affiliation>
<nlm:affiliation>Founding member of the Egyptian Society of Geriatrics and Gerontology, Geriatrics and Gerontology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.</nlm:affiliation>
</affiliation>
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<name sortKey="Goel, Ashish" sort="Goel, Ashish" uniqKey="Goel A" first="Ashish" last="Goel">Ashish Goel</name>
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<nlm:affiliation>Department of Medicine, UCMS and GTB Hospital, Delhi, India.</nlm:affiliation>
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<name sortKey="Moser, Andrea" sort="Moser, Andrea" uniqKey="Moser A" first="Andrea" last="Moser">Andrea Moser</name>
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<nlm:affiliation>Jewish Home for the Aged, Baycrest, Toronto, Canada.</nlm:affiliation>
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<name sortKey="Rolland, Yves" sort="Rolland, Yves" uniqKey="Rolland Y" first="Yves" last="Rolland">Yves Rolland</name>
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<nlm:affiliation>Gerontopole, Toulouse University Hospital-CHU, Toulouse, France.</nlm:affiliation>
</affiliation>
</author>
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<name sortKey="Abbatecola, Angela M" sort="Abbatecola, Angela M" uniqKey="Abbatecola A" first="Angela M" last="Abbatecola">Angela M. Abbatecola</name>
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<div type="abstract" xml:lang="en">This article reports the findings of a survey on end-of-life (EOL) care in nursing homes of 18 long-term care experts across 15 countries. The experts were chosen as a convenience-based sample of known experts in each country. The survey was administered in 2016 and included both open-ended responses for defining hospice care, palliative care, and "end of life," and a series of questions related to the following areas-attitudes toward EOL care, current practice and EOL interventions, structure of care, and routine barriers. Overall experts strongly agreed that hospice and palliative care should be available in long-term care facilities and that both are defined by holistic, interdisciplinary approaches using measures of comfort across domains. However, it appears the experts felt that in most countries the reality fell short of what they believed would be ideal care. As a result, experts call for increased training, communication, and access to specialized EOL services within the nursing home.</div>
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