Hospice Use by Older Adults Knocking on the Door of the Nursing Facility

Chapin, Rosemary Kennedy; Gordon, Theresa; Landry, Sarah; Rachlin, Roxanne

doi:10.1300/j457v03n02_03

Cited by 8 publications

(14 citation statements)

References 17 publications

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“…A recent study found that, even when procedures were in place to systematically assess whether new nursing home residents would benefit from outside resources, residents eligible for hospice services were often not referred to hospice. 16 Lack of knowledge of hospice benefits, on the part of both nursing home staff and residents’ family members, was identified as a barrier to hospice referral. Other research has shown that family members find late hospice referrals (or no hospice referral) to be problematic.…”

Section: Literature Reviewmentioning

confidence: 99%

Family Members’ Experience With Hospice in Nursing Homes

Gage

Washington

Oliver

et al. 2014

Am J Hosp Palliat Care

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Research has documented numerous benefits and challenges associated with receipt of hospice care in nursing homes; however, study of this partnership from the perspective of residents’ family members has been limited. The purpose of this qualitative investigation was to explore family members’ experience with hospice services received in the nursing home setting. Researchers conducted a secondary data analysis of 175 family member interviews using a thematic analytic approach. Findings highlighted the critical role of communication in supporting residents and their family members. Care coordination, support and oversight, and role confusion also impacted family members’ experience of hospice care in the nursing home. Efforts directed at enhancing communication and more clearly articulating the roles of members of the health care team are indicated.

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Section: Literature Reviewmentioning

confidence: 99%

Family Members’ Experience With Hospice in Nursing Homes

Gage

Washington

Oliver

et al. 2014

Am J Hosp Palliat Care

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“…Older people have disproportionately less access to hospice and community palliative care services (Catt et al, 2005;Chapin et al, 2007). However, the Longitudinal Study Amsterdam (Klinkenberg et al, 2005) found that significantly more older people dying of cancer were able to stay at home than those dying of other causes.…”

Section: Preferred Place Of Carementioning

confidence: 99%

Dying old in the 21st century

Holloway

2009

International Social Work

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English Dying in old age has become the majority dying of the developed world, yet older people are routinely denied palliative care, their dying characterized by failure to facilitate choice and recognize their needs. Social workers in all settings should embrace their contribution to quality end-of-life care for older people. French Mourir à un âge avancé est devenu la ‘forme majoritaire de la mort’ dans le monde développé, bien que l’on dénie couramment aux personnes âgées l’accès aux soins palliatifs, leur décès étant socialement caractérisé par l’incapacité à faciliter leurs choix et à reconnaître leurs besoins. Les travailleurs sociaux dans tous les dispositifs devraient apporter leur contribution à la qualité des soins de fin de vie pour les personnes âgées. Spanish Morirse de viejo se ha convertido en la forma mayoritaria de morir en el mundo desarrollado, sin embargo, a los ancianos se les niega sistemáticamente el cuidado paliativo. Sus muertes se caracterizan por el fallo de no ofrecer a los ancianos opciones y reconocer sus necesidades. Los trabajadores sociales de todas partes deben contribuir a la calidad del cuidado al final de la vida de los ancianos.

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“…[7][8][9] The hospice field mirrors the disparities in the health care system as a whole, with African American patients underutilizing hospice services. 2,10,11 Although the US Census Bureau estimated that African Americans comprised 13% of the US population in 2013, 12 the National Hospice and Palliative Care Organization (NHPCO) reported that in 2013, only 8.4% of hospice patients identified themselves as African American. This number had decreased from 8.6% the year before.…”

Section: Introductionmentioning

confidence: 99%

University–Community–Hospice Partnership to Address Organizational Barriers to Cultural Competence

Reese

Buila

Cox

et al. 2016

Am J Hosp Palliat Care

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Research documents a lack of access to, utilization of, and satisfaction with hospice care for African Americans. Models for culturally competent hospice services have been developed but are not in general use. Major organizational barriers include (1) lack of funding/budgeting for additional staff for community outreach, (2) lack of applications from culturally diverse professionals, (3) lack of funding/budgeting for additional staff for development of culturally competent services, (4) lack of knowledge about diverse cultures, and (5) lack of awareness of which cultural groups are not being served. A participatory action research project addressed these organizational barriers through a multicultural social work student field placement in 1 rural hospice. The effectiveness of the student interventions was evaluated, including addressing organizational barriers, cultural competence training of staff, and community outreach. Results indicated that students can provide a valuable service in addressing organizational barriers through a hospice field placement.

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Hospice Use by Older Adults Knocking on the Door of the Nursing Facility

Cited by 8 publications

References 17 publications

Family Members’ Experience With Hospice in Nursing Homes

Family Members’ Experience With Hospice in Nursing Homes

Dying old in the 21st century

University–Community–Hospice Partnership to Address Organizational Barriers to Cultural Competence

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