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Palliative Care in the Long-Term Care Setting
Book chapter

Palliative Care in the Long-Term Care Setting

Mary Ersek, Justine S. Sefcik and David G. Stevenson
Meeting the Needs of Older Adults with Serious Illness, pp 73-90
15 Jul 2014

Abstract

Advance Care Planning Hospice Care Palliative Care Palliative Care Service Skilled Nurse Facility
Over 25 % of adults, age 65 and older, including 67 % of persons with advanced dementia, live their final days in nursing homes. Despite the billions of dollars spent on nursing home services, care in this setting is associated with poor symptom control, burdensome transitions, and low family satisfaction with care. Palliative care is one approach to enhancing care for nursing home residents with progressive, life-limiting illnesses. This chapter describes models of palliative care delivery in nursing homes including strengths and challenges with each model. We also recommend several policy changes that can advance the care of older adults living and dying in this setting.

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6 citations in Scopus

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