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Nursing Commons

Open Access. Powered by Scholars. Published by Universities.®

2008

Theses/Dissertations

End of life care

Articles 1 - 2 of 2

Full-Text Articles in Nursing

Mortality Prognostication In Long-Term Care Residents: The Mds-Chess Scale, Caroline Etland Phd, Msn, Cns Apr 2008

Mortality Prognostication In Long-Term Care Residents: The Mds-Chess Scale, Caroline Etland Phd, Msn, Cns

Dissertations

Quality end of life (EOL) care for the elderly continues to be a challenge, in part due to late referral for palliative and/or hospice services. The purpose of this study was to determine the accuracy of the MDS-CHESS scale (Hirdes, Frijters & Teare, 2003) in predicting 6-month mortality in a stable American nursing home (NH) population. A secondary aim was to determine any differences in mortality between the 2 sites. A sample of 191 residents of two NHs was analyzed in a retrospective, correlational cohort study, using data collected from the federal MDS database. Correlational statistics and logistic regression were …


Dyspnea: Effect Of Auricular Acupressure In End Stage Lung Cancer Patients, A Pilot Feasibility Study, Roger Alan Strong Phd Apr 2008

Dyspnea: Effect Of Auricular Acupressure In End Stage Lung Cancer Patients, A Pilot Feasibility Study, Roger Alan Strong Phd

Dissertations

Introduction: Dyspnea is a debilitating symptom, common in advanced lung cancer patients, and poorly controlled. The National Institutes of Health has promoted the need for research regarding end of life care symptom control. Purpose: Conduct a feasibility study evaluating auricular acupressure effects on dyspnea in hospice lung cancer patients. Theoretical framework: The UCSF School of Nursing Symptom Management Faculty Group's Model for Symptom Management was used for the conceptual framework. The model includes three dimensions: symptom experience, symptom management strategies, and symptom outcomes. The Human Energy Field Theory provided context for using auricular acupressure. Aim: Conduct a pilot study evaluating …