ArticleInternational journal of environmental research and public health2021
A New Approach to the Identification of Palliative Care Needs and Advanced Chronic Patients among Nursing Home Residents.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Identifying Nursing Home Residents with Unmet Palliative Care Needs: A Systematic Review of Screening Tool Measurement Properties.Journal of the American Medical Directors Association · 2023Pooled it
- [Identification of palliative needs, complexities and other clinical variables in complex chronic patients in primary care in Andalusia: INCO-Pal study].Atencion primaria · 2026Article
- Quality of Dying Among Institutionalised Nursing Home Residents From the Caregivers' Perspective: A Mixed-Methods Study.Journal of advanced nursing · 2026Article
- Advance Care Planning and Frailty in Nursing Homes: Feasibility and Acceptance of a Stepwise, Long-Term Care, Structured Model.Journal of clinical medicine · 2025Article
- Training and Practice Gaps in Nursing Home Palliative Care: A Cross-Sectional Study.Journal of the American Geriatrics Society · 2025Article
- Behavioral health as a palliative care priority in long-term services and supports: A cross-sectional study of staff.Palliative & supportive care · 2025Article
- Specialised palliative care in nursing homes - Retrospective analysis on the basis of claims data.PloS one · 2025Article
- Article
- The prognostic value of the NECPAL instrument, Palliative Prognostic Index, and PROFUND index in elderly residents of nursing homes with advanced chronic condition.BMC geriatrics · 2023Observational
- 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
- Information and Advance Care Directives for End-of-Life Residents with and without Dementia in Nursing Homes.Healthcare (Basel, Switzerland) · 2023Article
- Cultural adaptation and validation of the SPICT-ES™ instrument to identify palliative care needs in Chilean older adults.BMC palliative care · 2022Article
- Cancer patients in Palliative Care: occurrences related to venipuncture and hypodermoclysis.Revista latino-americana de enfermagem · 2022Observational
- Physicians' Agreement on the Use of NECPAL as a Tool for Identifying Patients Suitable for Palliative Care: A Cross-Sectional Study.Sage open agingArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundProper planning of Palliative Care in nursing homes requires advanced knowledge of the care needs that residents show. The aim of the study was to evaluate Palliative Needs and other conditions such as fragility, complexity, and prognosis and also to suggest new indicators for the establishment of the resident's advanced chronic condition.
methodsCross-sectional study conducted in 149 nursing homes Complex Chronic residents evaluated by trained professionals. Palliative Care Needs, assessed by the NECPAL ICO-CCOMS© tool, and fragility, case and palliative complexity and prognosis were evaluate through a comprehensive assessment. Descriptive analyses and association measures were performed setting the statistical significance at 0.05.
resultsMore than 50% of the residents had positive Surprise Question and other Palliative Needs and were classified as Advanced Chronic Patients. Distress and/or Severe Adaptative Disorder was the most frequent need shown by the residents and significant differences in levels of frailty and other characteristics, were found between the Positive and the Negative Surprise Question Groups. Statistically significant correlations were also found between aspects of both groups.
conclusionsNursing homes residents show Palliative Needs regardless of the response to the Surprise Question of the NECPAL tool. Other characteristics such as presence of an intermediate level of frailty are suggested as a new perspective to identify advanced chronic patients among nursing homes residents.
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