Caring About Residents’ Experiences and Symptoms (CARES) Program: A Model of Palliative Care Consultation in the Nursing Home

Morris, Deborah; Galicia-Castillo, Marissa

doi:10.1177/1049909116641606

Cited by 10 publications

(7 citation statements)

References 13 publications

(13 reference statements)

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“…In the absence of a control group, the authors compare this to figures from the wider Australian population which state that 14% of those that wish to die at home, do so. Morris et al did not report preference for place of death 41…”

Section: Resultsmentioning

confidence: 97%

Impact of informational and relational continuity for people with palliative care needs: a mixed methods rapid review

et al. 2019

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ObjectiveTo identify and synthesise existing literature exploring the impact of relational and informational continuity of care on preferred place of death, hospital admissions and satisfaction for palliative care patients in qualitative, quantitative and mixed methods literature.DesignA mixed methods rapid review.MethodsPUBMED, PsychINFO, CINAHL were searched from June 2008 to June 2018 in order to identify original peer reviewed, primary qualitative, quantitative or mixed methods research exploring the impact of continuity of care for people receiving palliative care. Synthesis methods as outlined by the Cochrane Qualitative and Implementation Methods Group were applied to qualitative studies while meta-analyses for quantitative data were planned.OutcomesThe impact of interventions designed to promote continuity of care for people receiving palliative care on the following outcomes was explored: achieving preferred place of death, satisfaction with care and avoidable hospital admissions.Results18 eligible papers were identified (11 qualitative, 6 quantitative and 1 mixed methods papers). In all, 1951 patients and 190 family caregivers were recruited across included studies. Meta-analyses were not possible due to heterogeneity in outcome measures and tools used. Two studies described positive impact on facilitating preferred place of death. Four described a reduction in avoidable hospital admissions. No negative impacts of interventions designed to promote continuity were reported. Patient satisfaction was not assessed in quantitative studies. Participants described a significant impact on their experiences as a result of the lack of informational and relational continuity.ConclusionsThis rapid review highlights the impact that continuity of care can have on the experiences of patients receiving palliative care. The evidence for the impact of continuity on place of death and hospital admissions is limited. Methods for enhancing, and recording continuity should be considered in the design and development of future healthcare interventions to support people receiving palliative care.

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Section: Resultsmentioning

confidence: 97%

Impact of informational and relational continuity for people with palliative care needs: a mixed methods rapid review

et al. 2019

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“… nurses have difficulties with regard to symptom management that may threaten the quality of care of persons with life‐threatening disease and accompanying disturbing symptoms. Furthermore, experts have concluded that there is still a lack of attention on how to deliver high‐quality knowledge in palliative care in undergraduate and postgraduate academic nursing programs . An experienced nurse with knowledge and completed education of person‐centred palliative care can offer appropriate high‐quality early person‐centred palliative care to persons with accompanying disturbing symptoms .…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, experts have concluded that there is still a lack of attention on how to deliver high‐quality knowledge in palliative care in undergraduate and postgraduate academic nursing programs . An experienced nurse with knowledge and completed education of person‐centred palliative care can offer appropriate high‐quality early person‐centred palliative care to persons with accompanying disturbing symptoms . Education programs that focus on palliative care would help nurses to achieve better knowledge .…”

Section: Discussionmentioning

confidence: 99%

Nurses’ perceptions of early person‐centred palliative care: a cross‐sectional descriptive study

Kmetec

Štiglic

Lorber

et al. 2019

Scandinavian Caring Sciences

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Background Palliative care is aimed at improving the quality of life of an individual with chronic noncommunicable disease and their care partners. Limitations in the provision of palliative care are mainly lack of knowledge and experience by nurses, fear of treating palliative persons, loss of control over treatment and fear of providing poor‐quality palliative care to persons and care partners. Aim The aim of this study was to investigate the perception, knowledge and attitudes of palliative care by nurses who use palliative care approaches in practice, as well as the difference in perception, knowledge and attitudes of palliative care between nurses in Slovenia and Finland. Methods We conducted a cross‐sectional descriptive study. The survey included 440 nurses in clinical environments in Slovenia and Finland with a completed bachelor, master or doctoral level of education. Results We found statistically significant differences between both countries in the perception of palliative care. Differences between the two countries in the knowledge of palliative care were not confirmed. We confirmed statistically significant differences between both countries in the attitudes of palliative nursing care. Conclusion Early person‐centred palliative care is an important part of the holistic and integrative treatment of a person who has a disease with disturbing symptoms. For such an approach, it is important to educate nurses about knowledge, expectations, values and beliefs in developing a concept of person‐centred palliative care to improve quality of life. The better perception, knowledge and attitudes of palliative care by nurses may help persons to improve and raise their quality of life, as well as diminish stress in their care partners and improve quality of life.

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“…The high need and use of PC consults for this group are further evidenced by a recent evaluation of the Caring About Residents' Experiences and Symptoms (CARES) Program, which is a model of PC consultation in the NH setting undertaken by Eastern Virginia Medical School (EVMS) and Sentara Lifecare. 11 In this single NH evaluation, researchers found that nearly 48% of residents recommended for initial PC consults were receiving SNF care, and 54% of participants requested curative treatment solely or in addition to suggested PC services, making them largely ineligible for hospice services.…”

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confidence: 99%

Palliative Care Consults in U.S. Nursing Homes: Not Just for the Dying

Lima

Miller

2018

Journal of Palliative Medicine

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Caring About Residents’ Experiences and Symptoms (CARES) Program: A Model of Palliative Care Consultation in the Nursing Home

Abstract: The CARES program of palliative consultation addresses the needs of nursing home residents. The model has potential to be reproducible in in other communities.

Cited by 10 publications

References 13 publications

Impact of informational and relational continuity for people with palliative care needs: a mixed methods rapid review

Impact of informational and relational continuity for people with palliative care needs: a mixed methods rapid review

Nurses’ perceptions of early person‐centred palliative care: a cross‐sectional descriptive study

Palliative Care Consults in U.S. Nursing Homes: Not Just for the Dying

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