PRESS-NEWS.org - Press Release Distribution
PRESS RELEASES DISTRIBUTION

Hospice improves care for dementia patients and their families

Survey data come amid debate over Medicare funding

2011-08-01
(Press-News.org) PROVIDENCE, R.I. [Brown University] — Hospice services substantially improved the provision of care and support for nursing home patients dying of dementia and their families, according to an analysis of survey responses from hundreds of bereaved family members. The research comes as hospice funding has received particular scrutiny in the debate over Medicare spending.

"People whose loved ones received hospice care reported an improved quality of care, and had a perception that the quality of dying was improved as well," said Dr. Joan Teno, a Brown University gerontologist and the lead author of the study published online in the Journal of the American Geriatrics Society. "This is one of just a few studies out there that has examined dying with dementia where the predominant site of care is a nursing home and can report the benefits of hospice services. As just one example, for nursing home patients not in hospice, one in five family members reported an unmet need for shortness of breath while that was only 6.1 percent for people in hospice."

Hospice care was a great comfort to Bartley Block, of Providence, when he lost his wife, Janet, to dementia in October 2010. He and Janet received service from Home and Hospice Care of Rhode Island on and off for about a year as her condition wavered, and then ultimately declined. Block said that even after his wife began struggling to eat, she still would get up and walk. Hospice workers would help the couple take walks at the nearby Tockwotton Nursing Home and patiently feed her food that they'd puree.

"It meant a great deal to her and to me," Block said. "It not only was able to calm her, but it was calming to me. There were spiritual sessions for me. They did so much for her to make her life easier."

That kind of experience is reflected in the responses of hundreds of families in the survey. In all, Teno's team asked 538 family members of nursing home patients who died of dementia to reflect on the care and support they experienced and observed at their loved one's end of life. Of that group, 260 received hospice care and 278 did not. Among the report's key findings:

Family members of hospice recipients were 51 percent less likely to report unmet needs and concerns with quality of care. They were 49 percent less likely to report an unmet need for management of pain. They were 50 percent less likely to have wanted more emotional support before their loved one's death. They rated the peacefulness of dying and the quality of dying more positively than families whose loved ones did not receive hospice care.

The survey also found that people who felt their loved one received hospice care "too late" had stronger concerns about care and support in almost every one of the survey's many measures. They felt worse off than people who had no hospice care at all.

"These are people who get slammed around the healthcare system in the last days of life," Teno said. "These are people with transitions who go from an acute care hospital to a nursing home in the last 24 hours. They are reacting to a set of circumstances that shouldn't have occurred."

Dementia is a particularly important area to study, Teno said, because the untreatable condition has only recently gained recognition as being terminal illness. The unpredictability of its progress, however, has led to a large number of dementia patients staying in hospice for longer than people with other conditions. That has made dementia a focus for scrutiny in discussions of cost.

But the study provides new evidence that hospice provides a meaningful benefit to nursing home patients with dementia and their families, such as the Blocks, Teno said. Policymakers should therefore factor in that evidence as they discuss the future of Medicare funding.

"It is a terminal illness," Teno said. "As we do payment reform we should preserve access and quality of care for those persons dying of dementia."

### In addition to Teno, other authors of the paper are Pedro Gozalo, Ian Lee, and Sylvia Kuo of Brown, Carol Spence of the National Hospice and Palliative Care Organization, Stephen Connor of the Worldwide Palliative Care Alliance, and David Casarett of the University of Pennsylvania.

The National Institute of Aging funded the research.


ELSE PRESS RELEASES FROM THIS DATE:

Study of golf swings pinpoints biomechanical differences between pros and amateurs

2011-08-01
STANFORD, Calif. — When it comes to hitting a golf ball hard, researchers at the Stanford University School of Medicine have identified several biomechanical factors that appear to separate the duffers from the pros. For the first time, several key rotational-biomechanic elements of the golf stroke in its entirety, from backswing to follow-through, were analyzed, and then the data were used to generate benchmark curves, said Jessica Rose, PhD, associate professor of orthopaedic surgery and senior author of the study. She and her fellow researchers found that swing biomechanics ...

Best post-transplant drug regimen identified for patients with new kidneys

2011-08-01
Washington, DC (July 29, 2011) — For the thousands of patients who receive kidney transplants in the United States each year, preventing organ rejection without compromising other aspects of health requires a delicate balance of medications. Immunosuppresive drugs that protect transplanted organs can also cause serious side effects, including compromising patients' immunity to infection, cancer, and other threats. Finding the best combination and dosage of drugs has often proved difficult for physicians. A new multi-year study has now shown that using tacrolimus (TAC) ...

Grapes protect against ultraviolet radiation

2011-08-01
Some compounds found in grapes help to protect skin cells from the sun's ultraviolet radiation, according to a study by researchers from the University of Barcelona and the CSIC (Spanish National Research Council). The study supports the use of grapes or grape derivatives in sun protection products. Ultraviolet (UV) rays emitted by the sun are the leading environmental cause of skin complaints, causing skin cancer, sunburn and solar erythema, as well as premature ageing of the dermis and epidermis. Now, a Spanish study has proven that some substances in grapes can reduce ...

JRC develops new testing methods for contaminated sports drinks from Taiwan

2011-08-01
Brussels, 29 July 2011 - The European Commission's Joint Research Centre has developed three new methods to detect an illegal clouding agent which can be found in sports drinks imported from Taiwan. In late May, the Taiwanese authorities informed the European Commission that significant amounts of phthalates were illegally added to certain categories of sports drinks. These chemicals are believed to affect reproductive performance and fertility, and have been linked to developmental problems with children. Under a request from the Commission's Directorate-General for ...

FDA should invest in developing a new regulatory framework to replace flawed 510(k) medical device clearance process

2011-08-01
WASHINGTON — The U.S. Food and Drug Administration should gather the information needed to develop a new regulatory framework to replace the 35-year-old 510(k) clearance process for medical devices, says a new report from the Institute of Medicine. The 510(k) process lacks the legal basis to be a reliable premarket screen of the safety and effectiveness of moderate-risk Class II devices and cannot be transformed into one, concluded the committee that wrote the report. FDA's finite resources would be better invested in developing a new framework that uses both premarket ...

Survey: Ontarians expect better access to trauma centers for serious injuries

2011-08-01
TORONTO, Ont., July 29, 2011—More than eight in 10 Ontarians say they would want to be taken directly to a trauma centre if they were seriously injured, even if another hospital were closer, a new poll has found. The poll, conducted for researchers at St. Michael's Hospital, also found that 40 per cent of respondents believe they can get access to a trauma centre within an hour of calling 911. Neither event is guaranteed, said Dr. Avery Nathens, the hospital's trauma director. Nearly two-thirds (62 per cent) of seriously injured adults in Ontario are taken to their ...

Dissecting dyslexia: Linking reading to voice recognition

2011-08-01
When people recognize voices, part of what helps make voice recognition accurate is noticing how people pronounce words differently. But individuals with dyslexia don't experience this familiar language advantage, say researchers. The likely reason: "phonological impairment." Tyler Perrachione with the Massachusetts Institute of Technology explains, "Even though all people who speak a language use the same words, they say those words just a little bit differently from one another--what is called 'phonetics' in linguistics." Phonetics is concerned with the physical ...

Soybean genetic treasure trove found in Swedish village

2011-08-01
The first screening by U.S. Department of Agriculture (USDA) scientists of the American ancestors of soybeans for tolerance to ozone and other stresses had an eye-opening result: The world superstars of stress resistance hailed from a little village in far northern Sweden, called Fiskeby. The screeners, geneticist Tommy Carter and plant physiologist Kent Burkey, are with the Agricultural Research Service (ARS) in Raleigh, NC. Carter works in the ARS Soybean and Nitrogen Fixation Research Unit, and Burkey is in the agency's Plant Science Research Unit. ARS is USDA's principal ...

'Wonder material' graphene tapped for electronic memory devices

2011-08-01
Electronic memory devices, which store information, are increasingly expected to provide not only greater storage density, but also faster access to information. As storage density increases, however, power consumption and unwanted heat generation also increase, and the fidelity of accessing the memory is frequently diminished. Various platforms exist to overcome these hurdles, according to a team led by University of California at Los Angeles researchers, which they describe in detail in the AIP's Applied Physics Letters. A spin-transfer-torque device, for example, relies ...

Solar cells get a boost from bouncing light

2011-08-01
By engineering alternating layers of nanometer and micrometer particles, a team of engineers from the University of Minnesota has improved the efficiency of a type of solar cell by as much as 26 percent. These cells, known as dye-sensitized solar cells (DSSC), are made of titanium dioxide (TiO2), a photosensitive material that is less expensive than the more traditional silicon solar cells, which are rapidly approaching the theoretical limit of their efficiency. Current DSSC designs, however, are only about 10 percent efficient. One reason for this low efficiency is that ...

LAST 30 PRESS RELEASES:

Breast cancer risk in younger women may be influenced by hormone therapy

Strategies for staying smoke-free after rehab

Commentary questions the potential benefit of levothyroxine treatment of mild hypothyroidism during pregnancy

Study projects over 14 million preventable deaths by 2030 if USAID defunding continues

New study reveals 33% gap in transplant access for UK’s poorest children

Dysregulated epigenetic memory in early embryos offers new clues to the inheritance of polycystic ovary syndrome (PCOS)

IVF and IUI pregnancy rates remain stable across Europe, despite an increasing uptake of single embryo transfer

It takes a village: Chimpanzee babies do better when their moms have social connections

From lab to market: how renewable polymers could transform medicine

Striking increase in obesity observed among youth between 2011 and 2023

No evidence that medications trigger microscopic colitis in older adults

NYUAD researchers find link between brain growth and mental health disorders

Aging-related inflammation is not universal across human populations, new study finds

University of Oregon to create national children’s mental health center with $11 million federal grant

Rare achievement: UTA undergrad publishes research

Fact or fiction? The ADHD info dilemma

Genetic ancestry linked to risk of severe dengue

Genomes reveal the Norwegian lemming as one of the youngest mammal species

Early birds get the burn: Monash study finds early bedtimes associated with more physical activity

Groundbreaking analysis provides day-by-day insight into prehistoric plankton’s capacity for change

Southern Ocean saltier, hotter and losing ice fast as decades-long trend unexpectedly reverses

Human fishing reshaped Caribbean reef food webs, 7000-year old exposed fossilized reefs reveal

Killer whales, kind gestures: Orcas offer food to humans in the wild

Hurricane ecology research reveals critical vulnerabilities of coastal ecosystems

Montana State geologist’s Antarctic research focuses on accumulations of rare earth elements

Groundbreaking cancer therapy clinical trial with US Department of Energy’s accelerator-produced actinium-225 set to begin this summer

Tens of thousands of heart attacks and strokes could be avoided each year if cholesterol-lowering drugs were used according to guidelines

Leading cancer and metabolic disease expert Michael Karin joins Sanford Burnham Prebys

Low-intensity brain stimulation may restore neuron health in Alzheimer's disease

Four-day school week may not be best for students, review finds

[Press-News.org] Hospice improves care for dementia patients and their families
Survey data come amid debate over Medicare funding