A Comparative Analysis of Comprehensive Geriatric Assessments for Nursing Home Residents Receiving Palliative Care: A Systematic Review |
| |
| Institution: | 1. LUCAS, Center for Care Research and Consultancy, KU Leuven, Kapucijnenvoer Leuven, Belgium;2. End-of-Life Care Research Group, Vrije Universiteit Brussel and Ghent University, Laarbeeklaan, Brussels;1. Department of Geriatrics, Centro Medicina dell’Invecchiamento, Università Cattolica del Sacro Cuore, Rome, Italy;2. Geriatrics and Geriatric Emergency Care, Italian National Research Center on Aging (IRCCS-INRCA), Ancona, Italy;3. Scientific Direction, IRCCS San Raffaele Pisana, Rome, Italy;4. Scientific Direction, IRCCS Ca'' Granda Maggiore Policlinico Hospital Foundation, Milan, Italy;5. Department of Clinical and Experimental Science, University of Brescia, Brescia, Italy;6. Agenzia Italiana del Farmaco (AIFA), Rome, Italy;7. Laboratory for Quality Assessment of Geriatric Therapies and Services, IRCCS Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy;1. Graduate Institute of Clinical Pharmacy, College of Medicine, National Taiwan University, Taipei, Taiwan;2. School of Pharmacy, College of Medicine, National Taiwan University, Taipei, Taiwan;3. Department of Pharmacy, National Taiwan University Hospital, Taipei, Taiwan;4. Institute of Public Health, National Yang Ming University, Taipei, Taiwan;5. Aging and Health Research Center, National Yang Ming University, Taipei, Taiwan;6. Center for Geriatrics and Gerontology, Taipei Veterans General Hospital, Taipei, Taiwan;1. Research Unit for General Practice, Uni Health Research, Bergen, Norway;2. Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway;3. Department of Pulmonary Disease, Haukeland University Hospital, Bergen, Norway;4. Research Unit for General Practice, Copenhagen, Denmark;1. School of Social Work and Human Services, The University of Queensland, St Lucia, QLD 4072, Australia;2. School of Nursing and Midwifery, The University of Queensland, Herston Campus, Herston Road, Herston, QLD 4006, Australia;3. The University of Queensland/Blue Care Research and Practice Development Centre, P.O. Box 1539, Milton BC, QLD 4064, Australia;1. Italian National Research Center on Aging (INRCA), Scientific Direction, Ancona, Italy;2. Italian National Research Center on Aging (INRCA), Unit of Geriatric Pharmacoepidemiology, Research Hospital of Cosenza, Cosenza, Italy;3. Italian National Research Center on Aging (INRCA), Lab. Bioinformatica, Bioingegneria e Domotica, Ancona, Italy;4. Department of Geriatrics, Centro Medicina dell’Invecchiamento, Università Cattolica del Sacro Cuore, Rome, Italy |
| |
| Abstract: | Background/ObjectivesNursing homes become important locations for palliative care. By means of comprehensive geriatric assessments (CGAs), an evaluation can be made of the different palliative care needs of nursing home residents. This review aims to identify all CGAs that can be used to assess palliative care needs in long-term care settings and that have been validated for nursing home residents receiving palliative care. The CGAs are evaluated in terms of psychometric properties and content comprehensiveness.DesignA systematic literature search in electronic databases MEDLINE, Web of Science, EMBASE, Cochrane, CINAHL, and PsycInfo was conducted for the years 1990 to 2012.SettingNursing homes.ParticipantsNursing home residents with palliative care needs.MeasurementsPsychometric data on validity and reliability were extracted from the articles. The content comprehensiveness of the identified CGAs was analyzed, using the 13 domains for a palliative approach in residential aged care of the Australian Government Department of Health and Aging.ResultsA total of 1368 articles were identified. Seven studies met our inclusion criteria, describing 5 different CGAs that have been validated for nursing home residents with palliative care needs. All CGAs demonstrate moderate to high psychometric properties. The interRAI Palliative Care instrument (interRAI PC) covers all domains for a palliative approach in residential aged care of the Australian Government Department of Health and Aging. The McMaster Quality of Life Scale covers nine domains. All other CGAs cover seven domains or fewer.ConclusionsThe interRAI PC and the McMaster Quality of Life Scale are considered to be the most comprehensive CGAs to evaluate the needs and preferences of nursing home residents receiving palliative care. Future research should aim to examine the effectiveness of the identified CGAs and to further validate the CGAs for nursing home residents with palliative care needs. |
| |
| Keywords: | Comprehensive geriatric assessments palliative care older adults nursing homes |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
