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Continuing Care01:25

Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
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Does a palliative care consult decrease the cost of caring for hospitalized patients with dementia?

Marissa Araw1, Andrzej Kozikowski1, Cristina Sison2

  • 1North Shore-Long Island Jewish Health System,Great Neck, New York.

Palliative & Supportive Care
|October 22, 2013
PubMed
Summary
This summary is machine-generated.

Palliative care consultations (PCC) significantly reduced overall pharmacy costs for hospitalized advanced dementia patients. However, pain medication use and costs increased post-consultation, indicating a shift in care focus.

Keywords:
DementiaEnd-of-lifePalliative Care ConsultPharmacy Costs

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Area of Science:

  • Geriatrics
  • Palliative Care
  • Pharmacoeconomics

Background:

  • Advanced dementia (AD) is a terminal illness requiring specialized care.
  • Palliative care consultations (PCC) are crucial for managing AD patients.
  • Understanding the economic impact of PCC on medication costs is essential.

Purpose of the Study:

  • To compare pharmacy costs before and after PCC in end-stage dementia patients.
  • To analyze changes in the cost of specific medication classes post-PCC.

Main Methods:

  • Retrospective study of 60 hospitalized end-stage dementia patients.
  • Analysis of average daily pharmacy costs before and after PCC.
  • Comparison of medication proportions (cardiac, analgesics, antibiotics, antipsychotics, antiemetics) pre- and post-PCC.

Main Results:

  • Overall average daily pharmacy costs significantly decreased post-PCC ($31.16 vs. $20.83).
  • Proportion of patients on analgesics increased significantly (55% vs. 73.3%), with a rise in average daily analgesic cost.
  • Average daily antiemetic costs also showed a moderate increase post-PCC.

Conclusions:

  • PCC is associated with reduced overall medication costs in hospitalized AD patients.
  • PCC intervention leads to increased utilization of pain medications.
  • Palliative care teams effectively manage medication costs and patient needs in hospitalized dementia patients.