Title | Identifying Palliative Care Needs Among Older Adults in Nonclinical Settings. |
Publication Type | Journal Article |
Year of Publication | 2018 |
Authors | Kozlov E, Cai A, Sirey JAnne, Ghesquiere A, M Reid C |
Journal | Am J Hosp Palliat Care |
Volume | 35 |
Issue | 12 |
Pagination | 1477-1482 |
Date Published | 2018 Dec |
ISSN | 1938-2715 |
Keywords | Aged, Aged, 80 and over, Female, Health Services Needs and Demand, Health Status, Humans, Male, Mass Screening, Mental Health, Middle Aged, New York City, Palliative Care, Patient Care Planning, Residence Characteristics, Senior Centers, Socioeconomic Factors |
Abstract | Though palliative care is appropriate for patients with serious illness at any stage of the illness and treatment process, the vast majority of palliative care is currently delivered in inpatient medical settings in the past month of life during an acute hospitalization. Palliative care can have maximal benefit to patients when it is integrated earlier in the illness trajectory. One possible way to increase earlier palliative care use is to screen for unmet palliative care needs in community settings. The goal of this study was to assess the rates of unmet palliative care needs in older adults who attend New York City-based senior centers. The results of this study revealed that 28.8% of participants screened positive for unmet palliative care needs. Lower education and living alone were predictors of positive palliative care screens, but age, gender, marital status, and race were not. This study determined that the rate of unmet palliative care needs in community-based older adults who attend senior center events was high and that living arrangement and education level are both correlates of unmet palliative care needs. Screening for unmet palliative care needs in community settings is a promising approach for moving palliative care upstream to patients who could benefit from the additional supportive services prior to an acute hospitalization. |
DOI | 10.1177/1049909118777235 |
Alternate Journal | Am J Hosp Palliat Care |
PubMed ID | 29792039 |
PubMed Central ID | PMC6295198 |
Grant List | K24 AG053462 / AG / NIA NIH HHS / United States P30 AG022845 / AG / NIA NIH HHS / United States P50 MH113838 / MH / NIMH NIH HHS / United States T32 AG049666 / AG / NIA NIH HHS / United States |