Abstract The choice to utilize hospice care in the nursing home when residents are experiencing progressive decline can promote positive quality of care and comfort for residents at the end of life. Concurrent hospice and nursing home care can be less aggressive, and improve symptom management and perceived quality by family members. Using a secondary analysis of retrospective data from the electronic medical record, this study identified predictors of hospice use among 300 nursing home decedents using a six-month look back period. Findings showed that having poorer physical status (weight loss), cognitive status, and having had a “goals of care” conversation were significantly associated with greater likelihood of using hospice in the nursing home in the last six months of life. Interdisciplinary team members who provide care on a daily basis and are in a position to detect worsening medical condition of residents and can facilitate advance planning. Care planning that includes examining goals of care and communication with hospice providers when multiple care providers are involved is essential.

中文翻译：

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什么预测疗养院中的临终关怀使用？

摘要 当居民逐渐衰退时，选择在疗养院使用临终关怀可以提高临终关怀的积极质量和居民的舒适度。同时进行临终关怀和疗养院护理可以减少积极性，并改善症状管理和家庭成员的感知质量。本研究使用对电子病历回顾性数据的二次分析，确定了使用六个月回顾期的 300 名疗养院死者使用临终关怀的预测因素。研究结果表明，身体状况较差（体重减轻）、认知状况较差和进行过“护理目标”对话与生命最后六个月在疗养院使用临终关怀的可能性显着相关。每天提供护理的跨学科团队成员能够发现居民的医疗状况恶化，并可以促进提前计划。当涉及多个护理提供者时，包括检查护理目标和与临终关怀提供者沟通的护理计划至关重要。