Improving Palliative and End-Of-Life Care for Older People in Ireland: A New Model and Framework for Institutional Care

Payne, Sheila; Froggatt, Katherine; O’Shea, Eamon; Murphy, Kathy; Larkin, Philip; Casey, Dympna; Léime, Áine Ní

doi:10.1177/082585970902500310

Cited by 10 publications

(10 citation statements)

References 10 publications

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“…Precisely for that reason, there is a clear need for training incentives in hospital and day care units. Beyond this, communication skills training may be beneficial in hospices or palliative care units where people with dementia are a relatively new and growing group of patients cared for (Killick and Allan, 2006; Payne and Froggatt, 2009).…”

Section: Discussionmentioning

confidence: 99%

“…Consequently, additional research is needed to increase our understanding of the efforts that can be made to improve communication in other relevant care settings. Apart from residential care, these settings include homecare and acute-care (Payne and Froggatt, 2009). Family caregivers recount facing multiple challenges while caring for a family member with dementia; many of these problems are linked to communication issues.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Communication skills training in dementia care: a systematic review of effectiveness, training content, and didactic methods in different care settings

Eggenberger

Heimerl

Bennett

2012

Int. Psychogeriatr.

259

266

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This review shows that communication skills training in dementia care significantly improves the quality of life and wellbeing of people with dementia and increases positive interactions in various care settings. Communication skills training shows significant impact on professional and family caregivers' communication skills, competencies, and knowledge. Additional organizational features improve the sustainability of communication interventions.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Communication skills training in dementia care: a systematic review of effectiveness, training content, and didactic methods in different care settings

Eggenberger

Heimerl

Bennett

2012

Int. Psychogeriatr.

259

266

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“…Patients in hospice care who have been admitted with severe pain reported reduced pain as they received ongoing care 33 . One study showed that approximately 70% of patients underwent a pain assessment upon admission to hospice care 34 .…”

Section: Introductionmentioning

confidence: 99%

Predictors of Quality of Life in Elderly Hospice Patients With Cancer

Garrison

Overcash²,

McMillan³

2011

Journal of Hospice & Palliative Nursing

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Purpose While quality of life is the focus of care in hospices, limited research has been conducted on the quality of life of cancer patients in hospice home care. The purpose of this study was to explore the predictors of quality of life of older adults who are receiving hospice care in their homes. Methods A secondary analysis of data from a larger study was conducted using linear regression and including the following predictor variables: age, functional status, number of symptoms endorsed, overall symptom distress, pain intensity, and depressive symptoms. The outcome variable was quality of life. Results The sample consisted of 533 adults with an average age of 78.1 years (SD=7.4). A regression model that included symptom distress, number of symptoms, depression, and functional status accounted for 46% of the variance in quality of life. Pain, age, and caregiver depression did not contribute to predicting quality of life and therefore were not included in the final model. Conclusions and Implications Because both physical symptoms and depression are predictors of quality of life, a continued focus is needed on these factors by those providing care to older adults with cancer near the end of life.

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“…Not only traditional periodontal index, but sulcus fluid analysis, exudation, and mobility of implant could also be used in examination of tissue around implants. 12 In contrast to the soft tissue evaluation which was based on the traditional periodontal index, the evaluation of marginal bone loss was lack of consistency due to different reference points. 13 Nevertheless, plaque index, bleeding index, probing depth, attachment level and marginal bone loss, which were commonly used, might be suggested as minimum criteria to evaluate peri-implant tissue.…”

Section: Discussionmentioning

confidence: 99%

Standardizing the evaluation criteria on treatment outcomes of mandibular implant overdentures: a systematic review

2014

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PURPOSEThe aim of this review was to analyze the evaluation criteria on mandibular implant overdentures through a systematic review and suggest standardized evaluation criteria.MATERIALS AND METHODSA systematic literature search was conducted by PubMed search strategy and hand-searching of relevant journals from included studies considering inclusion and exclusion criteria. Randomized clinical trials (RCT) and clinical trial studies comparing attachment systems on mandibular implant overdentures until December, 2011 were selected. Twenty nine studies were finally selected and the data about evaluation methods were collected.RESULTSEvaluation criteria could be classified into 4 groups (implant survival, peri-implant tissue evaluation, prosthetic evaluation, and patient satisfaction). Among 29 studies, 21 studies presented implant survival rate, while any studies reporting implant failure did not present cumulative implant survival rate. Seventeen studies evaluating peri-implant tissue status presented following items as evaluation criteria; marginal bone level (14), plaque Index (13), probing depth (8), bleeding index (8), attachment gingiva level (8), gingival index (6), amount of keratinized gingiva (1). Eighteen studies evaluating prosthetic maintenance and complication also presented following items as evaluation criteria; loose matrix (17), female detachment (15), denture fracture (15), denture relining (14), abutment fracture (14), abutment screw loosening (11), and occlusal adjustment (9). Atypical questionnaire (9), Visual analog scales (VAS) (4), and Oral Health Impact Profile (OHIP) (1) were used as the format of criteria to evaluate patients satisfaction in 14 studies.CONCLUSIONFor evaluation of implant overdenture, it is necessary to include cumulative survival rate for implant evaluation. It is suggested that peri-implant tissue evaluation criteria include marginal bone level, plaque index, bleeding index, probing depth, and attached gingiva level. It is also suggested that prosthetic evaluation criteria include loose matrix, female detachment, denture fracture, denture relining, abutment fracture, abutment screw loosening, and occlusal adjustment. Finally standardized criteria like OHIP-EDENT or VAS are required for patient satisfaction.

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Improving Palliative and End-Of-Life Care for Older People in Ireland: A New Model and Framework for Institutional Care

Cited by 10 publications

References 10 publications

Communication skills training in dementia care: a systematic review of effectiveness, training content, and didactic methods in different care settings

Communication skills training in dementia care: a systematic review of effectiveness, training content, and didactic methods in different care settings

Predictors of Quality of Life in Elderly Hospice Patients With Cancer

Standardizing the evaluation criteria on treatment outcomes of mandibular implant overdentures: a systematic review

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