Urban and rural differences in end-of-life pain and treatment status on admission to a nursing facility

Jane Nelson Bolin, Charles D. Phillips, Catherine Hawes

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Individuals receiving end-of-life (EOL) care may have needs that are unrecognized or treated inappropriately. Yet, very little is known about differences in pain and special-care needs of EOL patients admitted to rural nur sing facilities compared with urban nursing facilities, and whether the differing payer mix in urban and rural facilities affects the treatment ordered on admission. We examine a nationally representative sample of 6,084 EOL patients upon admission to nursing homes to examine differences in diseases, pain assessments, and treatment orders. We found that rural EOL residents have higher rates of congestive heart failure, cancer, renal failure, and emphysema than urban EOL residents and are significantly more likely to report frequent pain, however, they are less likely to receive treatments such as IV medications, dialysis, and wound care.

Original languageEnglish (US)
Pages (from-to)51-57
Number of pages7
JournalAmerican Journal of Hospice and Palliative Medicine
Volume23
Issue number1
DOIs
StatePublished - 2006

Keywords

  • End of life
  • Minimum data set
  • Nursing facilities
  • Rural
  • Terminal illness

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint

Dive into the research topics of 'Urban and rural differences in end-of-life pain and treatment status on admission to a nursing facility'. Together they form a unique fingerprint.

Cite this