Enhancing palliative care for low-income elders with chronic disease: feasibility of a hospice consultation model.
Enhancing palliative care for low-income elders with chronic disease: feasibility of a hospice consultation model.
复制标题
加强对患有慢性病的低收入老年人的姑息治疗：临终关怀咨询模式的可行性。
DOI：
10.1080/15524256.2014.975088
复制
发表时间：
2014
影响因子：
1.6
通讯作者：
Mahoney,JaneE
中科院分区：
文献类型：
--
作者：
Kramer,BettyJ;Cleary,JamesF;Mahoney,JaneE
Challenges exist in assimilating palliative care within community-based services for nursing home eligible low-income elders with complex chronic illness as they approach the end of life (EOL). This study assessed the feasibility of a consultation model, with hospice clinicians working with three Care Wisconsin Partnership Program teams. Consults occurred primarily during team meetings and also informally and on joint patient visits and were primarily with the palliative care nurse addressing physical issues. Fifty-seven percent of consultant recommendations were implemented. Benefits of consultation were identified with focus groups of clinical staff as were opportunities and barriers to the implementation. Models of integration are proposed.
