A Comparative Analysis of Comprehensive Geriatric Assessments for Nursing Home Residents Receiving Palliative Care: A Systematic Review
JAMDAVolume 15, Issue 7 , Pages 467-476, July 2014
Background/Objectives
Nursing homes become important locations for palliative care.By means of comprehensive geriatric assessments (CGAs), an evaluation can be made of the different palliative care needs of nursing home residents. This review aims to identify all CGAs that can be used to assess palliative care needs in long-term care settings and that have been validated for nursing home residents receiving palliative care. The CGAs are evaluated in terms of psychometric properties and content comprehensiveness.
Design
A systematic literature search in electronic databases MEDLINE, Web of Science, EMBASE, Cochrane, CINAHL, and PsycInfo was conducted for the years 1990 to 2012.Setting
Nursing homes.Participants
Nursing home residents with palliative care needs.Measurements
Psychometric data on validity and reliability were extracted from the articles. The content comprehensiveness of the identified CGAs was analyzed, using the 13 domains for a palliative approach in residential aged care of the Australian Government Department of Health and Aging.Results
A total of 1368 articles were identified.Seven studies met our inclusion criteria, describing 5 different CGAs that have been validated for nursing home residents with palliative care needs.
All CGAs demonstrate moderate to high psychometric properties.
The interRAI Palliative Care instrument (interRAI PC) covers all domains for a palliative approach in residential aged care of the Australian Government Department of Health and Aging.
The McMaster Quality of Life Scale covers nine domains. All other CGAs cover seven domains or fewer.
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