Nursing home physician educational intervention improves end-of-life outcomes

Journal of Palliative Medicine

Volumn 6, Issue 2, 2003, Pages 205-213

  Keay, Timothy J ^a   Alexander, Carla ^a   McNally, Karen ^b   Crusse, Elizabeth ^b   Eger, Ruth E ^c  

^a UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE   (United States)

^b Stella Maris Hospice   (United States)

^c Joseph Richey Hospice   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADMINISTRATIVE PERSONNEL; ARTICLE; BEREAVEMENT; CLINICAL ARTICLE; COMPARATIVE STUDY; CONTROLLED STUDY; DEATH; HEALTH CARE QUALITY; HOSPICE; HUMAN; MEDICAL EDUCATION; MEDICAL RECORD; NURSING HOME; PAIN ASSESSMENT; PHYSICIAN; TERMINAL CARE;

EID: 0038034319     PISSN: 10966218     EISSN: None     Source Type: Journal    
DOI: 10.1089/109662103764978452     Document Type: Article

References (26)

1. Brock DB, Foley DJ: Demography and epidemiology of dying in the U.S. with emphasis on deaths of older persons. Hospice J 1998;13:49-60.
2. Bernabei R, Gambassi G, Lapane KL, Landi F, Gatsonis C, Dunlop R, Lipsitz L, Steel K, Mor V: Management of pain in patients with cancer. JAMA 1998;279:1877-1882.
3. Sengstaken EA, King SA: The problems of pain and its detection among geriatric nursing home residents. J Am Geriatr Soc 1993;41:541-544.
4. Stein WM, Ferrell BA: Pain in the nursing home. Clinics Geriatr Med 1996;12:601-613.
5. Hanson LC, Danis M, Garrett J: What is wrong with end-of-life care? Opinions of bereaved family members. J Am Geriatr Soc 1997;45:13339-1344.
6. Petrisek AC, Mor V: Hospice in nursing homes: A facility level analysis of the distribution of hospice beneficiaries. Gerontologist 1999;39:279-290.
7. Cranmer KW: Hospice defined. Benefits, problems, and regulatory conflicts. Nursing Home Med 1997;5:230-237.
8. Keay TJ, Schonwetter RS: The case for hospice care in nursing homes. Clinics Geriatr Med 2000;16:211-223.
9. Lawhorne LW: Avoidable and unavoidable decline and the naturalness of dying: The nursing home dilemma. Nursing Home Med 1999;7:309-312.
10. Miller SC, Mor V, Coppola K, Teno J, Laliberte L, Petrisek AC: The Medicare hospice benefit's influence on dying in nursing homes. J Palliative Med 1998;1:367-376.
11. The SUPPORT Principle Investigators: A controlled trial to improve care for seriously hospitalized patients: The study to understand prognoses and preferences for outcomes and risks of treatment (SUPPORT). JAMA 1995;274:1591-1598.
12. Poses RM: One size does not fit all: Questions to answer before intervening to change physician behavior. Joint Commission J Quality Improvement 1999;25:486-495.
13. Bero LA, Grilli R, Grimshaw JM, Harvey E, Oxman AD, Thomson AD: On behalf of the Cochrane Effective Practice and Organization of Care Review Group. Getting research findings into practice: Closing the gap between research and practice: an overview of systematic reviews of interventions to promote the implementation of research findings. BMJ 1998;317:465-468.
14. Robertson N, Baker R, Hearnshaw H:. Changing the clinical behaviour of doctors: A psychological framework. Qual Health Care 1996;5:51-54.
15. Davis D, O'Brien MA, Freemantle N, Wolf FM, Mazmanian P, Taylor-Vaisey A: Impact of formal continuing medical education: Do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes? JAMA 1999;282:867-874.
16. Soumerai SB, Avorn J: Principles of educational outreach ("Academic Detailing") to improve clinical decision making." JAMA 1990;263:549-556.
17. Keay TJ, Alexander C, McNally K, Crusse B, Egar RE, Hawtin C, Lowitt NR, Ross DD: Adult Education Program in Palliative Care for Nursing Facility Physicians: Design and Pilot Test. J Palliative Med 2000;3:457-463.
18. Keay TJ, Schonwetter RS: Hospice care in the nursing home. Am Fam Physician 1998;57:491-494.
19. Keay TJ, Fredman L, Taler GA, Datta S, Levenson SA: Indicators of quality medical care for the terminally ill in nursing homes. J Am Geriatr Soc 1994;42:853-860.
20. Keay TJ, Taler GA, Fredman L, Levenson SA: Assessing medical care of dying residents in nursing homes. Am J Medical Quality 1997;12:151-156.
21. Finucane TF, Harper GM: Attempting resuscitation in nursing homes: Policy considerations. J Am Geriatr Soc 1999;47:1261-1264.
22. Stjernsward J: WHO cancer pain relief programme. Cancer Surv 1988;7:195-208.
23. Casarett DJ, Hirschman KB, Henry MR: Does hospice have a role in nursing home care at the end of life? J Am Geriatr Soc 2001;49:1493-1498.
24. Ackerman RJ, Kemle KA: Death in a nursing home with active medical management. Nursing Home Med 1999;7:313-319.
25. Miller SC, Gozalo P, Mor V: Hospice enrollment and hospitalization of dying nursing home residents. Am J Med 2001;111:38-44.
26. Lomas J, Enkin M, Anderson GM, Hannan WJ, Vayna E, Singer J: Opinion leaders vs audit and feedback to implement practice guidelines. JAMA 1991;265:2202-2207.