* If you want to update the article please login/register
Background: Although most children at the end of life have commercial insurance, little is known about their demographic and medical characteristics, what services they are receiving, and how much money is spent. Objectives: To analyze differences between age-groups and commercially insured children who enrolled in hospice care during their last year of life. Methods: A retrospective cohort study was conducted using 2005 to 2014 results from Truven Health Analytics' MarketScan Commercial Claims and Encounters database. Result: 49% of the 17 062 children who used hospice, 49% had a preferred provider group, with 49% naming a preferred provider group. Children saw their primary care physician more than 80%. Cardiomyelitis was the most common disease among children under the age of less than 1 year. The highest incidence of hospital readmissions in children under the age of 1 year were the lowest ED visits while still incurring the most money.
Source link: https://doi.org/10.1177/1049909118789868
Purpose of this Report The aim of this report was to critically examine gender differences in the context of hospice palliative home care's sociopolitical context. Discussion Neoliberal discourses frame health and well-care experiences as primarily based on individual behaviours and biomedical causes, encouraging health-care providers and policy makers to ignore power relations and socioeconomic factors that obscure gender inequities. A critical perspective is needed to investigate how social structures influence everyday experiences in hospice palliative care.
Source link: https://doi.org/10.1177/0844562118788239
Abstract Background: Hospice and palliative care in China are mainly available at Chinese public primary care facilities, where nursing homes are rarely involved. Nursing assistants play a vital role in the HPC multidisciplinary team, but little is known about their attitudes toward HPC. This research sought to determine the attitudes and reasons that influence HPC in NAs. The highest score rate was u201cperception of the life quality promotion'u201d, and the lowest score was u201cperception of the risks from advanced patientu201d deteriorating conditions. Knowledge score and training requirements were positively related to HPC's attitudes toward HPC in the United States. Based on the key factors identified in this research, integrated HPC in NHs can only be achieved with the involvement of positive and enabling NAs, so targeted training is highly recommended.
Source link: https://doi.org/10.21203/rs.3.rs-1966010/v1
Despite the advances in pain management, finding optimal pain control in hospice and palliative care is difficult. Ineffective pain management, inadequate pain management skills, inadequate pain monitoring, and poor compliance with pain management protocols are all factors that contribute to poor pain control. The purpose of this integrated review is to investigate behavioral strategies developed for patients and caregivers in order to improve pain management in hospice and palliative care settings. 5 of the 7 studies that looked at improvements in pain knowledge found significant changes in at least one knowledge subscale. Significant improvements were found in the 2 studies that looked at pain management's adherence to pain control.
Source link: https://doi.org/10.1177/1049909118775421
Background: The Chinese government initiated a pilot project in hospice care in 2017, in which Shanghai was a pioneer. Knowledge, attitudes, and practices in hospice care may help or hinder HC growth. To comprehensively determine the KAPHC baseline of healthcare practitioners and policies in Shanghai and identify the influence factors, we carried out an original research based on an indigenized KAPHC scale to precisely measure the KAPHC baseline and policies to raise their KAPHC. Methods: A cross-sectional research was designed to assess healthcare professionals'u2019 KAPHC using the indigenized KAPHC scale. According to the 7027 KAPHC scale results, 42. 4 percent of participants had HC experience, and 57. 49% were ready to provide HC. Conclusion: We discovered that targeted healthcare provider KAPHC in Shanghai should emphasize psychological and spiritual care, pain relief, and traditional Chinese medicine.
Source link: https://doi.org/10.34172/ijhpm.2022.6525
The Value of Death Commission on the Value of Death inu2019 submits a radical reform and challenges the very foundation of hospice service delivery. Inequalities in access to hospice care will continue to be present as a result of inaction.
Source link: https://doi.org/10.1136/bmjspcare-2022-003590
Background: Hospice medical specialists play a vital role in the interdisciplinary hospice project. Family caregivers play a vital part in supporting patients in need of home hospice care. Understanding the challenges that HMDs face when working with CGs is critical in identifying future care gaps and providing quality end of life support for the patient/CG dyad. HMDs like CGs' problems when working with and caring for CGs, and they want to know how they handle them in the home hospice setting. Objectives: To understand the issues HMDs encounter when working with and caring for CGs and finding how they handle them. Conclusions: HMDs reported the vital role CGs play in providing medical assistance to home hospice patients. HMDs' challenges vary from assessing CG skills in delivering care to the patient, dealing with the physical and financial toll that CGs face, and raising the hopes of hospice care in CGs.
Source link: https://doi.org/10.1177/10499091211056323
Depression in older adults receiving hospice care has not been rigorously investigated, and the bulk of the existing research in this area has been done in patients terminally ill due to cancer. Only a few of these studies examine older adults who receive hospice care. Depression responds to a combination of psychosocial and psychopharmacological treatment in older adults who are terminally ill, according to clinical experience and limited research findings.
Source link: https://doi.org/10.1093/med/9780199796816.003.0029
While evidence is getting into the myriad of factors that influence end-of-life care transitions among people with dementia, people living in a slew of dementia, current study is mainly cross-sectional and does not reflect the effect that time changes have on hospice care uptake, accessibility, and equity in dyads, although more evidence is emerging. Methods and Design Secondary research comparing the National Health and Trends Study and the National Study of Caregiving to the National Study of Caregiving finds important sociodeterminants of longevity and quality of life among people living with dementia and their primary caregivers on hospice use over three years. Implications and Research Our exploratory models provide a starting point for the future development of precision health services that can be integrated into learning health services, providing providers with actionable evidence of who will benefit from discussions regarding serious illness goals-for-care.
Source link: https://doi.org/10.1093/geroni/igac051
* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions