Serious Illness and End‐of‐Life Treatments for Nurses Compared with the General Population

Autor: Honor J. Passow, Francine Grodstein, Donald Carmichael, Andrea M. Austin, Julie P.W. Bynum
Rok vydání: 2019
Předmět:
Zdroj: Journal of the American Geriatrics Society. 67:1582-1589
ISSN: 1532-5415
0002-8614
Popis: OBJECTIVES As key team members caring for people with advanced illness, nurses teach patients and families about managing their illnesses and help them to understand their options. Our objective was to determine if nurses' personal healthcare experience with serious illness and end-of-life (EOL) care differs from the general population as was shown for physicians. DESIGN Observational propensity-matched cohort study. SETTING Fee-for-service Medicare. PARTICIPANTS Nurses' Health Study (NHS) and a random 20% national sample of Medicare beneficiaries aged 66 years or older with Alzheimer's disease and related dementias (ADRD) or congestive heart failure (CHF) diagnosed in the hospital. MEASUREMENTS Characteristics of care during the first year after diagnosis and the last 6 months of life (EOL). RESULTS Among 57 660 NHS participants, 7380 had ADRD and 5375 had CHF; 3227 ADRD patients and 2899 CHF patients subsequently died. Care patterns in the first year were similar for NHS participants and the matched national sample: hospitalization rates, emergency visits, and preventable hospitalizations were no different in either disease. Ambulatory visits were slightly higher for NHS participants than the national sample with ADRD (13.1 vs 12.5 visits; P
Databáze: OpenAIRE
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