<p class="abstract"><strong>Background:</strong> Delayed admission to palliative and hospice services is prevalent and, especially in rural areas, contributing to poor quality of care, caregiver stress and burden, reducing patients’ and their caregivers' quality of life and increasing healthcare costs. A reliable and sensitive screening tool would help clinicians identify patients in need of palliative care services. The purpose of the study is to develop and test a screening tool to be used by healthcare professionals in rural clinics and hospitals to identify patients with progressive, multiple chronic illnesses in need of primary palliative care services.</p><p class="abstract"><strong>Methods:</strong> A longitudinal, sequential mixed-method methods design will be used to achieve the purpose of the study. A rural community hospital and its affiliated community clinics in the Midwestern United Sates are selected for the study. In Phase I, we will conduct a cohort study using existing electronic health records. The cross-sectional and correlational quantitative data analysis will be used to test the psychometric properties of the current and modified palliative care screening tools. In Phase II, we will prospectively collect functioning and physical activity level data from the patients admitted to the palliative care program over time (monthly for 6 months). Again, the primary focus is to conduct correlational quantitative analysis to evaluate the psychometric properties of the modified palliative screening tool</p><p><strong>Conclusions:</strong> The implication of this project is to 1) reduce healthcare disparities, 2) improve quality of care for rural patients with chronic serious illness; 3) inform the development of a hybrid (both inpatient and outpatient) screening tool for identifying palliative care needs that can be integrated into primary palliative care programs; and 4) enhance our understanding of mechanisms and relevant variables related to palliative care in rural patients living with chronic serious illness, leading to future program research in this field.</p>
work while enjoying high levels of health and wellbeing. Selected findings from the national cross-sectional survey (n= 2,100) and qualitative interviews (n=100) with Australian men and women age 45 years and over will be presented. This poster will describe the main 'triggers' to initiating voluntary retirement, factors associated with retirement age (such as gender, health, assets, industry and occupation) and what conditions may have delayed the decision to withdraw permanently from paid employment. This poster will also discuss dominant characteristics of older workers (65 years and over) including the type of work they undertake, how they work, and why they continue to participate in paid work past the traditional retirement age. Wisdom is an important asset of elders and has been shown to be related to wellbeing, but it is not clear whether wisdom affects wellbeing or wellbeing affects wisdom. The relationship between wisdom and wellbeing has not be largely researched in an Asian cultural context and this study is the first of its kind. To clarify the relationships, this study utilized baseline data from a questionnaire of 142 Chinese community dwelling older adults aged 60 and above, invited in all the 18 districts in Hong Kong. The analysis controlled for the elder's mastery, social support received, and a number of background characteristics. Results show that wisdom derived from inspirational engagement -social relations can contribute to older adults' self-esteem; whilst wisdom derived from emotional management -dealing with life situations can contribute to life satisfaction. Social support continued to play an important role in Chinese older adults' wellbeing, the primary caregiver's support contributed to the elder's life satisfaction unconditionally, whilst non-caregivers' support indicated a contribution to life satisfaction contingent on the elder's instrumental dysfunction. The results thus imply that helping older adults to make social contributions and manage life situations can improve wellbeing in later life In São Paulo, Mooca is a traditional Italian immigration neighborhood where 19% of the inhabitants are 60+ years, a high percentage compared to the Brazilian population. This qualitative research was intended to mobilize workers and elderly inhabitants from Mooca, and to analyze their perceptions about the neighborhood through Agefriendly cities program method proposed by the World Heath Organization (2007). A committee composed by researchers, representatives of the public administration, and civil society followed the implementation of the project, and assisted in the organization of 8 focal groups: 2 groups of elderly aged 60-75 years, 2 groups of elderly aged 76+ years, 2 groups with professionals, and 2 groups of elderly people of varying ages, totaling 44 participants (29 women and 15 men). About living in Mooca being an older person, the participants highlight as positive aspects the identity and tradition of the neighborhood, where people still know each other. As negative point...
Objectives Respond empathetically to the patient's expression of emotion. Elicit details about the patient's values. Make a recommendation about the treatment plan that best meets the patient's values. As a palliative care consultant from any professional background, discussing goals of therapy when things are not going well is the most common reason for an inpatient consult. Discussing goals of care is difficult because it requires the consultant to accomplish a number of interrelated, emotional tasks in a short period of time: deliver bad news, assess what is important to the patient, and make a recommendation about how to best proceed. Using a mix of short didactic talks and experiential practice, this workshop will help participants develop a toolkit of skills useful for handling these difficult conversations. This workshop will be unique in that learning will occur predominantly in small groups (one faculty member: eight to ten participants) to allow participants to practice the skills, observe others, and give feedback. The groups will be multidisciplinary, led by faculty with experience in facilitation, and teach skills appropriate for all palliative care clinicians.
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