A cross-sectional analysis of the prevalence of undertreatment of nonpain symptoms and factors associated with undertreatment in older nursing home hospice/palliative care patients.

The American Journal of Geriatric Pharmacotherapy
Keri L RodriguezMary Ann Sevick

Abstract

Approximately 25% of all US deaths occur in the long-term care setting, and this figure is projected to rise to 40% by the year 2040. Currently, there is limited information on nonpain symptoms and their appropriate treatment in this setting at the end of life. This study evaluated the prevalence of undertreatment of nonpain symptoms and factors associated with undertreatment in older nursing home hospice/palliative care patients. This study used a cross-sectional sample of older (>or=65 years) hospice/palliative care patients to represent all patients from the 2004 National Nursing Home Survey (NNHS) funded by the Centers for Disease Control and Prevention. Nonpain symptoms were determined from facility staff, who used the medical records to answer questions about the residents. Data on medication use were derived from medication administration records. Undertreatment was defined as the omission of a necessary medication for a specific nonpain symptom and was evaluated as a dichotomous variable (yes = the nonpain symptom was not treated with a medication; no = the nonpain symptom was treated with a medication). Cross-sectional bivariate analyses were conducted using chi(2) and regression coefficient tests to determine factors ...Continue Reading

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Citations

Jun 1, 2011·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·Peri J BallantyneJudith E Fisher
Jul 28, 2013·Journal of Palliative Medicine·Sara CombsJean S Kutner
Apr 14, 2012·Emergency Medicine International·Roberto ForeroKen Hillman
Aug 15, 2014·Current Gastroenterology Reports·Zilla H HussainBrian E Lacy
Sep 19, 2012·Nursing Outlook·Diana J Wilkie, Miriam O Ezenwa
Jun 7, 2011·Clinics in Geriatric Medicine·Matthew J Gonzales, Eric Widera
Jun 22, 2016·Scandinavian Journal of Caring Sciences·Kristina LämåsPer-Olof Sandman
Jul 20, 2016·International Journal of Older People Nursing·Beryl Cable-Williams, Donna M Wilson
Jan 28, 2014·The American Journal of Hospice & Palliative Care·Ferraz GonçalvesLaura Teixeira
Aug 27, 2013·International Journal of Palliative Nursing·Tanja Fromberg GorlénMette Asbjoern Neergaard
Sep 22, 2018·Palliative & Supportive Care·Huda Abu-Saad HuijerHusam Ghusn
Apr 23, 2020·International Journal of Environmental Research and Public Health·Danni Collingridge MooreLieve Van den Block
Dec 17, 2015·Journal of Clinical Gastroenterology·Caroline CorbanAnthony Lembo
Mar 21, 2021·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Scott A StrasselsUlrike Muench

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