{"id":1019,"date":"2015-02-13T10:55:43","date_gmt":"2015-02-13T10:55:43","guid":{"rendered":"https:\/\/blogs.bmj.com\/spcare\/?p=1019"},"modified":"2015-07-16T08:40:17","modified_gmt":"2015-07-16T08:40:17","slug":"shortcuts-50","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/spcare\/2015\/02\/13\/shortcuts-50\/","title":{"rendered":"SHORTCUTS"},"content":{"rendered":"<p>Scand J Prim Health Care. 2014 Dec;32(4):187-92. doi: 10.3109\/02813432.2014.972068. Epub 2014\u00a0Nov 3<\/p>\n<p><a href=\"http:\/\/informahealthcare.com\/doi\/full\/10.3109\/02813432.2014.972068\">Drug treatment at the end of life: An epidemiologic study in nursing homes<\/a><\/p>\n<p>Jansen K, Schaufel MA, Ruths S<\/p>\n<p>In a cohort study of 524 patients in three Norwegian nursing homes, diagnoses, drug prescriptions and demographic data were collected from electronic records. On the last day of their life, over 99% of people were prescribed drug treatments, with 74% having palliative drugs either alone (27%) or with curative\/preventive drugs (47%). Of these, 73% had an anticholinergic, 71% had morphine, just over a half had midazolam and just under a half had haloperidol prescribed by injection. Palliative drug prescription was associated with nursing home, length of stay over 16 months and a diagnosis of cancer. Most initiations of palliative drugs and withdrawals of curative\/preventive drugs took place on the last day of life. This study indicates that Improvements in prescribing at the end-of-life care in nursing homes are needed and imply addressing prognostication and earlier response to palliative needs.<\/p>\n<p>&nbsp;<\/p>\n<p>Shortcuts are compiled by Jason Boland<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Scand J Prim Health Care. 2014 Dec;32(4):187-92. doi: 10.3109\/02813432.2014.972068. Epub 2014\u00a0Nov 3 Drug treatment at the end of life: An epidemiologic study in nursing homes Jansen K, Schaufel MA, Ruths S In a cohort study of 524 patients in three Norwegian nursing homes, diagnoses, drug prescriptions and demographic data were collected from electronic records. On [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/spcare\/2015\/02\/13\/shortcuts-50\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":201,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1982],"tags":[],"class_list":["post-1019","post","type-post","status-publish","format-standard","hentry","category-short-cuts"],"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/posts\/1019","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/users\/201"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/comments?post=1019"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/posts\/1019\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/media?parent=1019"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/categories?post=1019"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/tags?post=1019"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}