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dc.contributor.authorEsteban Burgos, Ana Alejandra 
dc.contributor.authorLozano Terrón, María José
dc.contributor.authorPuente Fernández, Daniel 
dc.contributor.authorHueso Montoro, César 
dc.contributor.authorMontoya Juárez, Rafael 
dc.contributor.authorGarcía Caro, María Paz 
dc.date.accessioned2021-05-10T07:27:38Z
dc.date.available2021-05-10T07:27:38Z
dc.date.issued2021-03-19
dc.identifier.citationEsteban-Burgos, A.A.; Lozano-Terrón, M.J.; Puente- Fernandez, D.; Hueso-Montoro, C.; Montoya-Juárez, R.; García-Caro, M.P. A New Approach to the Identification of Palliative Care Needs and Advanced Chronic Patients among Nursing Home Residents. Int. J. Environ. Res. Public Health 2021, 18, 3171. [https://doi.org/10.3390/ijerph18063171]es_ES
dc.identifier.urihttp://hdl.handle.net/10481/68420
dc.descriptionThis research was supported by the Andalusian CICYE project AP-0105-2016.es_ES
dc.descriptionResults belong to one of the objectives for a Doctoral Tesis study of the Clinic Medicine and Public Health Doctoral Program of the University of Granada. We would like to thank all the participants and professionals who participated.es_ES
dc.description.abstractBackground: Proper planning of Palliative Care in nursing homes requires advanced knowledge of the care needs that residents show. The aim of the study was to evaluate Palliative Needs and other conditions such as fragility, complexity, and prognosis and also to suggest new indicators for the establishment of the resident's advanced chronic condition. Methods: Cross-sectional study conducted in 149 nursing homes Complex Chronic residents evaluated by trained professionals. Palliative Care Needs, assessed by the NECPAL ICO-CCOMS (c) tool, and fragility, case and palliative complexity and prognosis were evaluate through a comprehensive assessment. Descriptive analyses and association measures were performed setting the statistical significance at 0.05. Results: More than 50% of the residents had positive Surprise Question and other Palliative Needs and were classified as Advanced Chronic Patients. Distress and/or Severe Adaptative Disorder was the most frequent need shown by the residents and significant differences in levels of frailty and other characteristics, were found between the Positive and the Negative Surprise Question Groups. Statistically significant correlations were also found between aspects of both groups. Conclusions: Nursing homes residents show Palliative Needs regardless of the response to the Surprise Question of the NECPAL tool. Other characteristics such as presence of an intermediate level of frailty are suggested as a new perspective to identify advanced chronic patients among nursing homes residents.es_ES
dc.description.sponsorshipJunta de Andalucia AP-0105-2016es_ES
dc.language.isoenges_ES
dc.publisherMDPIes_ES
dc.rightsAtribución 3.0 España*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/es/*
dc.subjectPalliative carees_ES
dc.subjectChronic patientes_ES
dc.subjectNursing homeses_ES
dc.subjectPalliative needses_ES
dc.subjectElderlyes_ES
dc.subjectResidentses_ES
dc.subjectAdvanced chronicityes_ES
dc.subjectFrailtyes_ES
dc.subjectComplexityes_ES
dc.subjectPrognosis es_ES
dc.titleA New Approach to the Identification of Palliative Care Needs and Advanced Chronic Patients among Nursing Home Residentses_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses_ES
dc.identifier.doi10.3390/ijerph18063171
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersiones_ES


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Atribución 3.0 España
Except where otherwise noted, this item's license is described as Atribución 3.0 España