Length of Hospice Enrollment and Subsequent Depression in Family Caregivers: 13-Month Follow-Up Study

Kris, Alison E.; Cherlin, Emily; Prigerson, Holly G.; Carlson, Melissa; Johnson-Hürzeler, Rosemary; Kasl, Stanislav V.; Bradley, Elizabeth H.

doi:10.1097/01.jgp.0000194642.86116.ce

Cited by 83 publications

(99 citation statements)

References 17 publications

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“…One potential reason may be how older adults in the United States are using hospice and palliative care services. [18][19][20] Between 2000 and 2009, there has been a striking increase in the number of short hospice stays. 2 Palliative care services remain underdeveloped in the outpatient setting.…”

Section: Discussionmentioning

confidence: 99%

Is Care for the Dying Improving in the United States?

Teno

Freedman

Kasper

et al. 2015

Journal of Palliative Medicine

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Background: Striking changes occurred in health care in the United States between 2000 and 2013, including growth of hospice and hospital-based palliative care teams, and changes in Medicare payment policies. Objective: The aim of this study was to compare informants' reports and ratings of the quality of end-of-life care for decedents between 2000 and 2011-2013. Methods: The study design comprised retrospective national surveys. Subjects were decedents age 65 years and older residing in the community from two time periods. Similar survey questions were asked at the two time periods. Bivariate and multivariate analyses were conducted, using appropriate survey weights to examine response differences between time periods, after adjusting for the decedent's age, race, pattern of functional decline, and the presence of a cancer diagnosis, as well as the respondent's relationship to the decedent.

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Section: Discussionmentioning

confidence: 99%

Is Care for the Dying Improving in the United States?

Teno

Freedman

Kasper

et al. 2015

Journal of Palliative Medicine

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“…6,[53][54][55] These findings are particularly relevant to health care professionals working in acute care settings. Recent U.S. data highlight a decrease in overall hospital deaths and an increase in hospice enrollment in the last month of life, tempered by an increase in ICU admission in the final month of life and hospice admission in the final three days of life.…”

Section: Discussionmentioning

confidence: 99%

Factors Predicting Bereaved Caregiver Perception of Quality of Care in the Final Week of Life: Implications for Health Care Providers

Higgins

Garrido

Prigerson

2015

Journal of Palliative Medicine

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Background: Cancer caregivers are key stakeholders in the final weeks of life and in bereavement. Research has highlighted end-of-life (EOL) factors important to caregivers, as well as factors contributing to caregiver mental health and bereavement outcomes. There has been limited data on factors predicting caregiver perceptions of quality of EOL care. Objective: This study's purpose was to identify modifiable predictors of caregivers' Caregiver Evaluation of Quality of End of Life Care (CEQUEL) scores, with the broader aim of informing clinical interventions to improve caregiver impressions of care and subsequent bereavement adjustment. Methods: Study data came from Coping with Cancer I (CwC1). CwC1 investigators interviewed advanced cancer patients and caregivers prior to the patient's death (Wave 1) and reinterviewed caregivers following the death (Wave 2) (N = 275 dyads). The authors identified potential Wave 1 predictors of CEQUEL scores and performed a series of linear regression analyses to identify a parsimonious predictive model using corrected Akaike's Information Criterion (AICc) values. Results: In adjusted analyses, caregivers rated quality of care as poorer when patients died in a hospital (B = -1.40, SE = 0.40, p = 0.001) (B, unstandardized regression coefficient; SE, standard error) or had less than one week of inpatient hospice care (B = -1.98, SE = -0.70, p = 0.006). Whole-person physician care and caregiver religiosity were associated with perceived higher quality of care in unadjusted, but not adjusted, analyses. Conclusions: Findings suggest that place of death and hospice length of stay best predict bereaved caregiver evaluations of quality of EOL care. These findings equip health care providers with modifiable targets to improve caregivers' experience of EOL care and subsequent bereavement.

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“…111 Also, hospice enrollment of 3 days or less before death is a significant risk factor for later depression in the bereaved caregiver, suggesting that early hospice referral may be a preventive mental health intervention for caregivers. 112 Care of the bereaved is beyond the scope of this article but represents the final phase of oncologic care. In general, no mental health treatment is needed for caregivers who exhibit normal grieving, although they may find bereavement support groups to be helpful.…”

Section: End-of-life Issuesmentioning

confidence: 99%

Psychiatric disorders in advanced cancer

Miovic

Block

2007

Cancer

321

228

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Label‐free microcolony identification via elastic light scattering was investigated for three different genera: Salmonella enterica serovar Montevideo, Listeria monocytogenes F4244, and Escherichia coli DH5α. Microcolonies were defined as bacterial colonies in their late‐lag phase to early‐exponential phase with the diameter range of 100–200 µm. To link biophysical characteristics with corresponding scattering patterns, a phase contrast microscope and a confocal displacement meter were used to measure the colony diameter and its 3D height profile. The results indicated that the growth characteristics of microcolonies were encoded in their morphologies which correlated to the characteristic diffraction patterns. Proposed methodology was able to classify three genera based on comprehensive phenotypic map which incorporated growth speed, ring count, and colony diameter. While the proposed method illustrated the possibility of discriminating microcolonies in their early growth stage, more thorough biophysical understanding is needed to expand the technology to other species. Biotechnol. Bioeng. 2011; 108:637–644. © 2010 Wiley Periodicals, Inc.

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Length of Hospice Enrollment and Subsequent Depression in Family Caregivers: 13-Month Follow-Up Study

Cited by 83 publications

References 17 publications

Is Care for the Dying Improving in the United States?

Is Care for the Dying Improving in the United States?

Factors Predicting Bereaved Caregiver Perception of Quality of Care in the Final Week of Life: Implications for Health Care Providers

Psychiatric disorders in advanced cancer

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