A quality control nurse for a large group of long-term care facilities assesses the quality of care at the end of life for the residents. Which of the following measures indicate quality care? (Select all that apply.)
A) Increase in the number of deaths in the hospital
B) Increase in the number of residents who refuse treatments at the end of life
C) Increase in the percent of residents with advanced dementia
D) Increase in the use of hospice services
E) Increasing number of staff trained in palliative care
Ans: D, E
Studies confirm the need for staff education related to symptom management and other aspects of palliative care. Two measures of quality care at the end of life for nursing home residents are use of hospice services and avoiding death in the hospital. There are a large number of residents with advanced dementia (the desire is that more of these become clients of hospice).
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