ArticlePalliative medicine2020
Palliative care and infection management at end of life in nursing homes: A descriptive survey.
Article in Palliative medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
What it found
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Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Physicians', pharmacists', and nurses' education of patients about antibiotic use and antimicrobial resistance in primary care settings: a qualitative systematic literature review.Frontiers in antibiotics · 2024Pooled it
- Timing of Goals of Care Discussions in Nursing Homes: A Systematic Review.Journal of the American Medical Directors Association · 2023Pooled it
- Racial/Ethnic Disparities in Nursing Home End-of-Life Care: A Systematic Review.Journal of the American Medical Directors Association · 2021Pooled it
- Observational
- Antimicrobials in serious illness and end-of-life care: lifting the veil of silence.The Lancet. Infectious diseases · 2025Review
- Differences in Timely Goals of Care Discussions in Nursing Homes Among Black Residents.The American journal of hospice & palliative care · 2025Article
- Attitudes towards antibiotic use in end-of-life care: a nationwide Italian physician survey.Le infezioni in medicina · 2025Article
- Potentially Avoidable Hospitalizations Among Historically Marginalized Nursing Home Residents.JAMA network open · 2024Article
- Attitudes and influencing factors of nursing assistants towards hospice and palliative care nursing in chinese nursing homes: a cross-sectional study.BMC palliative care · 2023Article
- Examining Regional Differences in Nursing Home Palliative Care for Black and Hispanic Residents.Journal of palliative medicine · 2022Article
- Barriers and facilitators of appropriate antibiotic use in primary care institutions after an antibiotic quality improvement program - a nested qualitative study.BMC geriatrics · 2022Article
- Differences in Care Provided in Urban and Rural Nursing Homes in the United States: Literature Review.Journal of gerontological nursing · 2021Review
- The Role of Regional and State Initiatives in Nursing Home Advance Care Planning Policies.The American journal of hospice & palliative care · 2021Article
- Epidemiology and Prevention of Healthcare-Associated Infections in Geriatric Patients: A Narrative Review.International journal of environmental research and public health · 2021Review
- Association of Timely Goals of Care Discussions with Hospitalizations Due to Infections in Nursing Homes.Palliative medicine reportsArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundInfections are common occurrences at end of life that are associated with high rates of morbidity and mortality among frail elderly individuals. The problem of infections in nursing homes has led to a subsequent overuse and misuse of antibiotics in this already-frail population. Improving palliative care in nursing homes has been proposed as a key strategy to reduce the use of antibiotics.
aimThe aim of this study was to describe the current status of how nursing homes integrates palliative care and infection management at end of life across the nation.
designThis is a cross-sectional survey of nationally representative US nursing homes. SETTING/
participantsBetween November 2017 and October 2018, a survey was conducted with a nationally representative random sample of nursing homes and 892 surveys were completed (49% response rate). The weighted study sample represented 15,381 nursing homes across the nation.
resultsMost nursing homes engaged in care plan documentation on what is important to residents (90.43%) and discussed spiritual needs of terminally ill residents (89.50%). In the event of aspiration pneumonia in terminally ill residents, 59.43% of nursing homes responded that resident would be transferred to the hospital. In suspected urinary tract infection among terminally ill residents, 66.62% of nursing homes responded that the resident will be treated with antibiotics.
conclusionThe study found wide variations in nursing home palliative care practices, particularly for timing of end-of-life care discussions, and suboptimal care reported for antibiotic usage. Further education for nursing home staff on appropriate antibiotic usage and best practices to integrate infection management in palliative care at the end of life is needed.
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