Evidence map›Paper›PMID 37641096›Full record

ArticleBMC palliative care2023

Care challenges of home health patients living with dementia: a pathway forward with palliative care.

Connie S Cole, Ashley Dafoe, Caroline K Tietbohl, Sarah R Jordan, Amy G Huebschmann, Hillary D Lum, Christine D Jones

Abstract read
In one paragraph

Article in BMC palliative care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. A program of SUPPORT-DPalliative & supportive care · 2026
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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

7 authors.

Connie S ColeDivision of General Internal Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. connie.cole@cuanschutz.edu.
Ashley DafoeAdult and Child Center for Outcomes Research and Delivery Science, School of Medicine, University of Colorado, Children's Hospital Colorado, Aurora, CO, USA.
Caroline K TietbohlAdult and Child Center for Outcomes Research and Delivery Science, School of Medicine, University of Colorado, Children's Hospital Colorado, Aurora, CO, USA.
Sarah R JordanDivision of Healthcare Services, Molina Healthcare of Illinois, Oak Brook, IL, USA.
Amy G HuebschmannDivision of General Internal Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Hillary D LumDivision of Geriatric Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Christine D JonesDivision of Geriatric Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.

Funding

Multidisciplinary Research Training in Palliative CareT32AG044296 · NIA · UNIVERSITY OF COLORADO DENVER · PI STACY M FISCHER, JEAN S KUTNER · 2014 to 2026
$3.3M
Development and evaluation of a palliative-transitional home health care modelR21AG067038 · NIA · UNIVERSITY OF COLORADO DENVER · PI JONES, CHRISTINE D · 2020 to 2021
$428k
NIA NIH HHS 5T32AG044296NIA NIH HHS R21 AG067038NIA NIH HHS R21AG067038NIA NIH HHS T32 AG044296
6 · The paper itself

Abstract

backgroundHome health care (HHC) is a leading source of care support for older adults with serious illness, particularly patients living with dementia (PLWD). Demand for HHC is expected to continue to grow, driven by an aging population and preference for non-institutional care. HHC agencies are frequently under pressure to find effective approaches for improving care delivery and quality. One strategy that has the potential to improve the quality of life and patient satisfaction in HHC for PLWD is the integration of palliative care. Therefore, we sought to understand the experiences and needs of PLWD and their family caregivers specifically focusing on ways that HHC and palliative care may be integrated as part of the care transition from hospital to home, to better support PLWD and their families.

methodsWe conducted a descriptive qualitative study focusing on the perspectives of patients, caregivers, and healthcare team members about palliative care delivery for patients receiving HHC. Interviews were audio-recorded and professionally transcribed. In this analysis, we specifically report on dementia-related content using an iterative, team-based thematic analysis approach.

resultsWe identified three themes: 1) 'Living in the Whirlwind' which describes the many competing demands on caregivers time and the associated feeling of loss of control, 2) 'Thinking Ahead' which describes the importance of thinking beyond the day-to-day tasks to begin planning for the future, and 3) 'Pathways Forward' which describes the integration of palliative care into HHC to provide enhanced support for PLWD and their caregivers.

conclusionIn this qualitative study, our formative work identified the importance of providing anticipatory guidance (e.g., safety, advance care planning) coupled with emotional and pragmatic care supports (e.g., finding resources, navigating insurance) to sustain caregivers who are struggling with the whirlwind.

Indexed as

DementiaHome Care ServicesHospice and Palliative Care NursingAgedHumansPalliative CareQuality of LifeAlzheimer’s diseaseDementiaHome health carePalliative careQualitative methods

Identifiers

PMID37641096
PMCPMC10464392

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Registered trials

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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.