Improving Shared Decision Making in Management of Dementia
An intervention designed to help family members prioritize treatment decisions improved end-of-life communication and palliative care treatment plans and reduced hospitalization rates for nursing home residents with advanced dementia. At the same time, the randomized trial published in JAMA Internal Medicine highlighted shortcomings of dementia palliative care. Family members who received the intervention reported better overall scores on the 10-point quality of communication questionnaire compared with those in the control group (6.0 vs 5.6) and greater concordance with providers on the primary goal of care (88.4% vs 71.2%). Although gains made in quality of communication for the intervention group were modest, this group had more palliative care content in treatment plans relative to the control group. Both groups said that treatment was consistent with the patient's preferences, and comfort care was the primary goal..
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2017 |
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| Erschienen: |
2017 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:317 |
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| Enthalten in: |
The journal of the American Medical Association / Englische Ausgabe - 317(2017), 8, Seite 798-798 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Slomski, Anita [VerfasserIn] |
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| Links: |
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| Themen: |
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| doi: |
10.1001/jama.2017.1135 |
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| PPN (Katalog-ID): |
OLC1992078025 |
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| 520 | |a An intervention designed to help family members prioritize treatment decisions improved end-of-life communication and palliative care treatment plans and reduced hospitalization rates for nursing home residents with advanced dementia. At the same time, the randomized trial published in JAMA Internal Medicine highlighted shortcomings of dementia palliative care. Family members who received the intervention reported better overall scores on the 10-point quality of communication questionnaire compared with those in the control group (6.0 vs 5.6) and greater concordance with providers on the primary goal of care (88.4% vs 71.2%). Although gains made in quality of communication for the intervention group were modest, this group had more palliative care content in treatment plans relative to the control group. Both groups said that treatment was consistent with the patient's preferences, and comfort care was the primary goal. | ||
| 650 | 4 | |a Dementia | |
| 650 | 4 | |a Communication | |
| 650 | 4 | |a Palliative care | |
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