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Nursing home experience with hospice.

Debra Parker-Oliver1, Denise Bickel

  • 1University of Missouri, School of Social Work, Columbia, Missouri 65211, USA.

Journal of the American Medical Directors Association
|June 17, 2003
PubMed
Summary
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Nursing home management views hospice care positively, but access and pain management skills need improvement. Enhancing collaboration and education can optimize end-of-life care for residents.

Area of Science:

  • Gerontology
  • Palliative Care
  • Healthcare Management

Background:

  • Nursing homes face challenges in providing end-of-life care.
  • Hospice services offer a crucial support system for terminally ill residents.
  • Understanding nursing home management's perspective on hospice is vital for improving care.

Purpose of the Study:

  • To explore nursing home management's knowledge, experience, and attitudes toward hospice care.
  • To identify barriers and facilitators in hospice and nursing home collaboration.

Main Methods:

  • A descriptive study utilizing phone interviews.
  • Systematic random sampling of 60 administrators and directors of nursing (DON) from 42 nursing homes in Missouri.
  • Data collected on hospice experience, perceived benefits, knowledge of regulations, and pain management skills.

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Main Results:

  • Management perceives hospice care as positive and valuable for residents.
  • Concerns exist regarding the frequency and availability of hospice services, particularly in rural areas.
  • While management believes hospice is knowledgeable in pain management, measured skills ranked low (2.1/5); community and physician understanding emerged as barriers.

Conclusions:

  • Despite positive overall experiences, shortcomings in hospice-nursing home relationships were identified.
  • Opportunities exist to improve collaboration through education of medical directors and nursing home staff.
  • Enhanced education on palliative care identification, care plan responsibilities, and regulatory issues is recommended.