Palliative Care Needs of Older Adults With and Without Dementia During Post-Acute Care in Skilled Nursing Facilities.

IF 2 3区医学 Q2 GERONTOLOGY

Journal of Applied Gerontology Pub Date : 2025-08-17 DOI:10.1177/07334648251363646

Joan G Carpenter, Elisha Oduro, Nancy Hodgson, Shijun Zhu, Merve Gurlu, Mary Ersek, Laura C Hanson

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Abstract

Seriously ill older adults, including those living with Alzheimer's disease and related dementias (ADRD), often receive disease-focused rehabilitative care in skilled nursing facilities (SNF) with little consideration for their palliative care (PC) needs. Using baseline data from a pilot pragmatic clinical trial (N = 52), we conducted a cross-sectional study to compare the clinical characteristics and the PC needs of older adults with and without ADRD receiving SNF care. Functional decline was the most common global indicator for palliative care among both groups. While there was no statistically significant difference in PC needs between the two groups, the most prevalent PC needs for all were pain (63.5%), feeling anxious or worried (59.6%), family and friends being anxious or worried (57.7%), and need for information (46.2%). Older adults with and without an ADRD diagnosis who are admitted to post-acute SNF care may benefit from universal screening and tailored PC services.

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老年痴呆患者和非老年痴呆患者急性期后护理在熟练护理机构的姑息治疗需求。

重病老年人，包括那些患有阿尔茨海默病和相关痴呆（ADRD）的老年人，经常在熟练护理机构（SNF）接受以疾病为重点的康复护理，很少考虑他们的姑息治疗（PC）需求。利用一项试验性实用临床试验（N = 52）的基线数据，我们进行了一项横断面研究，比较有和没有ADRD的老年人接受SNF治疗的临床特征和PC需求。在两组患者中，功能下降是姑息治疗最常见的全球指标。虽然两组之间的个人电脑需求没有统计学上的显著差异，但最普遍的个人电脑需求是疼痛（63.5%），感到焦虑或担心（59.6%），家人和朋友焦虑或担心（57.7%），以及信息需求（46.2%）。有或没有ADRD诊断的老年人接受急性SNF后护理可能受益于普遍筛查和量身定制的PC服务。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Applied Gerontology GERONTOLOGY-

CiteScore

5.10

自引率

13.30%

发文量

202

期刊介绍： The Journal of Applied Gerontology (JAG) is the official journal of the Southern Gerontological Society. It features articles that focus on research applications intended to improve the quality of life of older persons or to enhance our understanding of age-related issues that will eventually lead to such outcomes. We construe application broadly and encourage contributions across a range of applications toward those foci, including interventions, methodology, policy, and theory. Manuscripts from all disciplines represented in gerontology are welcome. Because the circulation and intended audience of JAG is global, contributions from international authors are encouraged.