Rainbow Hospice and Palliative Care, Mount Prospect, IL 60056, USA.
Am J Alzheimers Dis Other Demen. 2012 Feb;27(1):33-40. doi: 10.1177/1533317511432732. Epub 2012 Jan 31.
This article describes a pilot project involving training, case consultations, and administrative coaching over a period of 1 year aimed at introducing palliative care in 2 nursing homes among 31 residents with advanced dementia. Resident outcomes that examined numerous clinical measures were assessed at 3 points in time. Changes in the knowledge and attitudes of 80 staff members and 33 family members who participated in the multimodal intervention were also assessed at 3 points in time. Limited improvements were demonstrated on measures for residents, staff members, and family members at the first nursing home (site 1) and significant improvements were demonstrated at the other nursing home (site 2). Top leadership turned over 3 times at site 1 which limited the integration of palliative care, whereas leadership of site 2 remained stable. Implications for implementing a program of palliative care in nursing homes are discussed.
本文描述了一个为期 1 年的试点项目，包括培训、病例咨询和行政指导，旨在向 2 家养老院的 31 名晚期痴呆症患者引入姑息治疗。在 3 个时间点评估了居民的预后情况，这些预后情况考察了多项临床指标。还在 3 个时间点评估了参与多模式干预的 80 名员工和 33 名家属的知识和态度变化。在第一家养老院（站点 1），居民、员工和家属的措施仅显示出有限的改善，而在另一家养老院（站点 2）则显示出显著的改善。站点 1 的高层领导更换了 3 次，这限制了姑息治疗的整合，而站点 2 的领导保持稳定。文章还讨论了在养老院实施姑息治疗计划的意义。
