Evidence map›Paper›PMID 24984903›Full record

ArticleJournal of aging studies2014

"This is our last stop": Negotiating end-of-life transitions in assisted living.

Mary M Ball, Candace L Kemp, Carole Hollingsworth, Molly M Perkins

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Journal of aging studies, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 45 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Turning It Over to God: African American Assisted Living Residents' End-of-Life Preferences and Advance Care Planning.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Ethics of Health Information Sharing and Social Relationships at End of Life in Assisted Living.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    Article
  11. Assisted Living Administrators' Approaches to Advance Care Planning.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Observational
  17. State Variability in Assisted Living Residents' End-of-Life Care Trajectories.Journal of the American Medical Directors Association · 2020
    Observational
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Mary M BallDivision of General Medicine and Geriatrics, Emory University School of Medicine, Atlanta, GA, United States. Electronic address: mary.ball@emory.edu.
Candace L KempThe Gerontology Institute, Georgia State University, Atlanta, GA, United States. Electronic address: ckemp@gsu.edu.
Carole HollingsworthThe Gerontology Institute, Georgia State University, Atlanta, GA, United States. Electronic address: carolehollingsworth@gsu.edu.
Molly M PerkinsDivision of General Medicine and Geriatrics, Emory University School of Medicine, Atlanta, GA, United States; Atlanta Site, Birmingham/Atlanta Geriatric, Research, Education and Clinical Center (GRECC), Atlanta, GA, United States; Atlanta VA Medical Center, Atlanta, GA, United States. Electronic address: molly.m.perkins@emory.edu.
Georgia State University · USAtlanta Medical Center · USEmory University · US

Funding

Negotiating Social Relationships in Assisted Living: The Resident ExperienceR01AG030486 · NIA · GEORGIA STATE UNIVERSITY · PI BALL, MARY M · 2008 to 2010
$884k
Satisfaction and Retention of Staff in Assisted LivingR01AG021183 · NIA · GEORGIA STATE UNIVERSITY · PI BALL, MARY M · 2004 to 2006
$866k
NIA NIH HHS 1R01 AG021183NIA NIH HHS R01 AG030486
6 · The paper itself

Abstract

Where people die has important implications for end-of-life (EOL) care. Assisted living (AL) increasingly is becoming a site of EOL care and a place where people die. AL residents are moving in older and sicker and with more complex care needs, yet AL remains largely a non-medical care setting that subscribes to a social rather than medical model of care. The aims of this paper are to add to the limited knowledge of how EOL is perceived, experienced, and managed in AL and to learn how individual, facility, and community factors influence these perceptions and experiences. Using qualitative methods and a grounded theory approach to study eight diverse AL settings, we present a preliminary model for how EOL care transitions are negotiated in AL that depicts the range of multilevel intersecting factors that shape EOL processes and events in AL. Facilities developed what we refer to as an EOL presence, which varied across and within settings depending on multiple influences, including, notably, the dying trajectories and care arrangements of residents at EOL, the prevalence of death and dying in a facility, and the attitudes and responses of individuals and facilities toward EOL processes and events, including how deaths were communicated and formally acknowledged and the impact of death and dying on the residents and staff. Our findings indicate that in the majority of cases, EOL care must be supported by collaborative arrangements of care partners and that hospice care is a critical component.

Indexed as

Quality of Health CareAdultAgedAged, 80 and overAssisted Living FacilitiesAttitude of Health PersonnelAttitude to DeathFemaleHumansMaleMiddle AgedNegotiatingQualitative ResearchTerminal CareAssisted livingDeath and dyingDying trajectoryEnd-of-life careHospice care

Identifiers

PMID24984903
PMCPMC4082797
OpenAlexW2091212637

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.