Palliative care and infection management at end of life in nursing homes: A descriptive survey.

Palliative Medicine
Aluem TarkMansi Agarwal

Abstract

Infections are common occurrences at end of life that are associated with high rates of morbidity and mortality among frail elderly individuals. The problem of infections in nursing homes has led to a subsequent overuse and misuse of antibiotics in this already-frail population. Improving palliative care in nursing homes has been proposed as a key strategy to reduce the use of antibiotics. The aim of this study was to describe the current status of how nursing homes integrates palliative care and infection management at end of life across the nation. This is a cross-sectional survey of nationally representative US nursing homes. Between November 2017 and October 2018, a survey was conducted with a nationally representative random sample of nursing homes and 892 surveys were completed (49% response rate). The weighted study sample represented 15,381 nursing homes across the nation. Most nursing homes engaged in care plan documentation on what is important to residents (90.43%) and discussed spiritual needs of terminally ill residents (89.50%). In the event of aspiration pneumonia in terminally ill residents, 59.43% of nursing homes responded that resident would be transferred to the hospital. In suspected urinary tract infection...Continue Reading

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Citations

Oct 29, 2020·The American Journal of Hospice & Palliative Care·Caroline J FuPatricia W Stone
Jan 12, 2021·Journal of the American Medical Directors Association·Leah V EstradaPatricia W Stone
Jun 3, 2021·International Journal of Environmental Research and Public Health·Maria Luisa CristinaMarina Sartini

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