Journal of pain and symptom management
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J Pain Symptom Manage · Apr 2015
Randomized Controlled Trial Multicenter StudyMeasuring end-of-life care and outcomes in residential care/assisted living and nursing homes.
The two primary residential options for older adults who require supportive care are nursing homes and residential care/assisted living. More than one-quarter of all deaths in the U.S. occur in these settings. Although the information available on end of life in long-term care has been growing, the comparative suitability of various measures to guide this work is unknown. ⋯ Despite these recommendations, measurement selection should be informed not only on the basis of psychometric properties but also by specific clinical and research needs. The data in this manuscript will help researchers, clinicians, and administrators understand the implications of choosing various measures for their work.
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J Pain Symptom Manage · Apr 2015
Randomized Controlled TrialApoyo con Cariño: a pilot randomized controlled trial of a patient navigator intervention to improve palliative care outcomes for latinos with serious illness.
Latinos experience significant health disparities at the end of life compared with non-Latinos. ⋯ A culturally tailored patient navigator intervention was feasible and suggests improved palliative care outcomes for Latinos facing advanced medical illness, justifying a fully powered randomized controlled trial.