Promoting Independence Through Pain and Symptom Management

通过疼痛和症状管理促进独立性

• 批准号: 8292012
• 负责人: ALBERT L SIU
• 金额: $ 105.66万
• 依托单位: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-06-01 至 2015-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8292012
• 关键词: Academic Training; Accounting; Acute; Address; Adult; Age; Aging; American; Antibiotics; Area; Attention; Brain; Caring; Cessation of life; Chronic; Chronic Disease; Chronically Ill; Clinical; Clinical Trials; Cognitive; Collaborations; Colon Carcinoma; Communication; Consultations; Data; Degenerative Disorder; Dementia; Dependence; Development; Device or Instrument Development; Diagnosis; Disease; Distress; Elderly; Faculty; Family; Family Caregiver; Fostering; Foundations; Geriatrics; Gerontology; Goals; Grant; Health; Health Services Research; Healthcare; Heart; Heart Diseases; Homes for the Aged; Human; Individual; Institute of Medicine (U.S.); Intervention; Knowledge; Leadership; Life; Longevity; Lung; Lung diseases; Malignant Neoplasms; Measurement; Measures; Medical; Medical Education; Medical Research; Medicine; Mentors; Methods; Minority; Modeling; Modern Medicine; Muscle; Organ; Orthopedics; Pain; Pain management; Palliative Care; Patients; Performance; Physicians; Pilot Projects; Plant Roots; Population; Population Growth; Population Study; Psychiatry; Public Health; Quality of life; Recording of previous events; Recruitment Activity; Relative (related person); Reporting; Research; Research Design; Research Infrastructure; Research Methodology; Research Personnel; Research Project Grants; Research Support; Research Training; Resources; Scoring Method; Societies; Source; Staging; Stroke; Support System; Symptoms; Talents; Techniques; Time; Training; Training Programs; United States; Work; base; behavioral health; care systems; career; career development; data management; design; disability; end of life; experience; frailty; improved; improved functioning; innovation; instrument; interest; medical specialties; programs; psychologic; public health relevance; response; symptom management; theories

DESCRIPTION (provided by applicant): Most older adults will develop one or more chronic illnesses with which they may live for years, often with symptom distress and progressive functional dependence. There is now abundant evidence that the quality of life during these advanced stages of disease is poor. The goal of this OAIC is to establish a research program focused on the relationship of pain and other symptoms to independence and function in older people with serious illness. The OAIC is built from a foundation of grants totaling $34.4 million started by the Center's principals in the late 1990s. These grants have spawned an additional 42 grants totaling $18.8 million supporting research, career development, and infrastructure. In this proposal, we expand this research foundation through strengthened collaborations with colleagues in Psychiatry, Medicine, Orthopedics and at the Hebrew Home for the Aged, among others. These collaborations are the source for new research projects and junior faculty with interests in geriatrics and palliative care. Three of the OAIC cores will be led by individuals who have devoted their careers to geriatrics, a fourth is led by an expert in clinical trials methods who is CAQ'ed in geriatrics, and the fifth is led by a senior gerontologist. The OAIC will recruit and train academic leaders, and it will support pilot and exploratory studies. It will also establish 2 research cores (research design and analysis, measurement and data management) that will apply innovative methods not currently in widespread use in aging research but that are highly applicable to aging. The Center will bring together a) leadership by senior geriatricians who are long-standing colleagues with a shared track record of successful research and training program building; b) senior faculty with a substantial body of research contributions; and c) promising junior investigators. Our Center's theme has its roots in the deepest traditions of medicine: attention to the primacy of the relief of suffering. Ancient though this priority may be, medical research in general, and geriatric research in particular, are poised to bring modern techniques and knowledge to what is in fact a new area of focus for the OAIC program - the effective amelioration of pain and other symptoms to improve function and promote independence in older adults. The proposed Center will bridge geriatrics and palliative care and serve as a model for a new focused area of research within geriatrics. PUBLIC HEALTH RELEVANCE: Substantial data suggest that the care of older adults living with serious illness is in need of improvement. The proposed OAIC would establish a sustainable infrastructure to support the development of new investigators in geriatric palliative care research, support research in geriatric palliative care, and develop or adapt instruments, designs, and analytic methods necessary to improve care for seriously ill older adults.

描述(申请人提供)：大多数老年人会患上一种或多种慢性疾病，这些疾病可能会持续多年，通常伴随着症状困扰和渐进性功能依赖。现在有大量证据表明，在这些疾病的晚期，生活质量很差。这个OAIC的目标是建立一个研究项目，重点研究患有严重疾病的老年人疼痛和其他症状与独立性和功能的关系。OAIC是由该中心的负责人在20世纪90年代末发起的总计3440万美元的赠款基础上建立的。这些赠款又产生了42笔赠款，总计1880万美元，用于支持研究、职业发展和基础设施。在这项建议中，我们通过加强与精神病学、医学、骨科和希伯来养老院等领域的同事的合作来扩大这一研究基础。这些合作是新的研究项目和对老年病学和姑息治疗感兴趣的初级教员的来源。OAIC的三个核心将由致力于老年医学的个人领导，第四个核心将由一名在老年医学领域获得CAQ的临床试验方法专家领导，第五个核心将由一名资深老年病学家领导。OAIC将招聘和培训学术领袖，并将支持试点和探索性研究。它还将建立两个研究核心(研究设计和分析、测量和数据管理)，这些核心将应用目前在老龄化研究中尚未广泛使用但高度适用于老龄化的创新方法。该中心将汇集a)资深老年医生的领导，他们是长期的同事，在成功的研究和培训计划建设方面有着共同的记录；b)拥有大量研究贡献的高级教员；以及c)有前途的初级研究人员。我们中心的主题植根于最深厚的医学传统：关注解除痛苦的首要地位。尽管这一优先事项可能很古老，但总体上说，医学研究，特别是老年研究，正准备将现代技术和知识带到OAIC计划的一个新的重点领域-有效改善疼痛和其他症状，以改善老年人的功能和促进独立。拟议的中心将架起老年医学和姑息治疗之间的桥梁，并成为老年医学中新的重点研究领域的典范。 公共卫生相关性：大量数据表明，对患有严重疾病的老年人的护理需要改进。拟议的OAIC将建立一个可持续的基础设施，以支持老年姑息治疗研究领域的新研究人员的发展，支持老年姑息治疗研究，并开发或调整必要的仪器、设计和分析方法，以改善对重病老年人的护理。