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Geriatric Nursing Commons

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Full-Text Articles in Geriatric Nursing

Timely Transitioning To Hospice: A Needs Assessment With A Pace Program To Improve End Of Life Care, Kristina Kelley Jan 2019

Timely Transitioning To Hospice: A Needs Assessment With A Pace Program To Improve End Of Life Care, Kristina Kelley

Doctor of Nursing Practice (DNP) Projects

Background: Hospice care has been proven to improve patient outcomes at the end of life. However, patients frequently die without receiving hospice benefits. The challenge of transitioning patients from care with a life prolonging intent to a comfort focused approach can partly be attributed to poor prognostication or misconceptions about hospice. A Program for All Inclusive Care of Elders (PACE) in Massachusetts identified transitioning to hospice as an area for improvement. Purpose: To perform a needs assessment to gain understanding of the barriers to effective transitions to hospice and to provide education aimed at addressing those barriers. Methods: Subjects included …


Preserving Dignity In The Long Term Care Of Actively Dying Residents, Libby-Rose Cronican May 2017

Preserving Dignity In The Long Term Care Of Actively Dying Residents, Libby-Rose Cronican

All College Thesis Program, 2016-2019

As one goes through the process of aging and approaches death, they experience a series of losses: from the loss of physical or mental ability to the ultimate loss of life. These losses make the individual vulnerable to harms that can come from a variety of sources. One source is found within the everyday interactions of long-term care nurses and aides with their elderly, dying residents. Creating this harm stems from a poor nursing practice where the nurse or aide fails to recognize and promote the resident’s dignity and autonomy. The normal notion of dignity and autonomy does not encompass …