Research in gerontological nursing · 2026
Outcomes of a Palliative Care Intervention for Older Adults With and Without Dementia in Skilled Nursing Facilities.
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Carpenter Joan G, Oduro Elisha B, Hodgson Nancy, Zhu Shijun, Gurlu Merve, Ersek Mary, Hanson Laura C
Аннотация
PURPOSE: Older adults living with Alzheimer's disease and related dementias (ADRD) receiving skilled nursing facility (SNF) care have different clinical trajectories and care needs compared to those without ADRD. Little is known about whether palliative care affects these two populations differently.
METHOD: We conducted a secondary comparative cohort analysis of a feasibility pragmatic pilot trial (n = 52) to explore the effect of a primary palliative care intervention among older adults with and without ADRD. SNF nurse practitioners received training in the delivery of a primary palliative care intervention. The Palliative Outcomes Scale version 2 measured quality of life at baseline and 14 to 21 days follow up.
RESULTS: No statistically significant intervention effect was found; however, quality of life scores in the ADRD cohort trended toward improvement, whereas the non-ADRD cohort trended toward worsening with a similar effect size.
CONCLUSION: Further research is needed to optimize palliative care interventions for SNF residents with different illness trajectories.
METHOD: We conducted a secondary comparative cohort analysis of a feasibility pragmatic pilot trial (n = 52) to explore the effect of a primary palliative care intervention among older adults with and without ADRD. SNF nurse practitioners received training in the delivery of a primary palliative care intervention. The Palliative Outcomes Scale version 2 measured quality of life at baseline and 14 to 21 days follow up.
RESULTS: No statistically significant intervention effect was found; however, quality of life scores in the ADRD cohort trended toward improvement, whereas the non-ADRD cohort trended toward worsening with a similar effect size.
CONCLUSION: Further research is needed to optimize palliative care interventions for SNF residents with different illness trajectories.