What question did this study set out to answer?

Determine whether family members perceive that hospice enrollment improves symptom management, reduces hospital transfers, and provides added value for nursing home residents during the final 3 months of life.

August 1, 2000Journal of the American Geriatrics Society

Families' Perception of the Added Value of Hospice in the Nursing Home

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Authors

WBWendy BaerEmory Clinic LHLaura C. HansonUniversity of North Carolina at Chapel Hill

Discussion

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Implication

Survey study shows hospice improves physical and emotional symptom care for dying nursing home residents, indicating significant perceived value and avoidable hospitalizations.

Key Points

Determine whether family members perceive that hospice enrollment improves symptom management, reduces hospital transfers, and provides added value for nursing home residents during the final 3 months of life.
Mailed a post-death survey to family members of all nursing home hospice enrollees in North Carolina across a 6-month period (N=292 completed of 398 eligible; 73% response rate).
Evaluated proxy ratings of physical and emotional symptom care quality before versus after hospice enrollment, avoidance of hospitalizations, and monetary valuation of added services.
Care quality for physical symptoms was rated good or excellent by 64% of family members before hospice versus 93% after hospice initiation (P<.001), addressing severe or moderate pain (70%) and dyspnea (56%).
Care quality for emotional needs rose from 64% good or excellent pre-hospice to 90% post-hospice (P<.001), targeting resident anxiety (50%), depression (47%), and loneliness (35%).
A majority of respondents (53%) reported that hospice prevented hospitalizations, and families estimated the median added value of hospice services at $75 per day.

Cite This Study

Baer et al. (2000) studied this question.

synapsesocial.com/papers/6a8bceef52e1a91077e97d5c https://doi.org/10.1111/j.1532-5415.2000.tb06883.x

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Implication

Survey study shows hospice improves physical and emotional symptom care for dying nursing home residents, indicating significant perceived value and avoidable hospitalizations.

Families' Perception of the Added Value of Hospice in the Nursing Home

Discussion

Member takes

Implication

Key Points

Cite This Study

Families' Perception of the Added Value of Hospice in the Nursing Home

Discussion

Member takes

Implication

Key Points

Cite This Study

Also Consider

Also Consider