Elissa Kozlov1, Matthew J Wynn2, M Carrington Reid3, Charles R Henderson4, XinQi Dong1, Jo Anne Sirey5. 1. Rutgers University, Institute for Health, Health Care Policy and Aging Research, New Brunswick, NJ, USA. 2. Department of Psychology, Washington University in St. Louis, St. Louis, MO, USA. 3. Department of Geriatrics and Palliative Care, Weill Cornell Medicine, New York, NY, USA. 4. Cornell University, College of Human Ecology, Ithaca, NY, USA. 5. Department of Psychiatry, Weill Cornell Medicine, New York, NY, USA.
Abstract
OBJECTIVE: Given a large number of community-based older adults with mild cognitive impairment, it is essential to better understand the relationship between unmet palliative care (PC) needs and mild cognitive impairment in community-based samples. METHOD: Participants consisted of adults ages 60+ receiving services at senior centers located in New York City. The Montreal Cognitive Assessment (MoCA) and the Unmet Palliative Care Needs screening tool were used to assess participants' cognitive status and PC needs. RESULTS: Our results revealed a quadratic relationship between unmet PC needs and mild cognitive impairment, controlling for gender, living status, and age. Participants with either low or high MoCA scores reported lower PC needs than participants with average MoCA scores, mean difference of the contrast (low and high vs. middle) = 2.15, P = 0.08. SIGNIFICANCE OF RESULTS: This study is a first step toward elucidating the relationship between cognitive impairment and PC needs in a diverse community sample of older adults. More research is needed to better understand the unique PC needs of older adults with cognitive impairment living in the community.
OBJECTIVE: Given a large number of community-based older adults with mild cognitive impairment, it is essential to better understand the relationship between unmet palliative care (PC) needs and mild cognitive impairment in community-based samples. METHOD: Participants consisted of adults ages 60+ receiving services at senior centers located in New York City. The Montreal Cognitive Assessment (MoCA) and the Unmet Palliative Care Needs screening tool were used to assess participants' cognitive status and PC needs. RESULTS: Our results revealed a quadratic relationship between unmet PC needs and mild cognitive impairment, controlling for gender, living status, and age. Participants with either low or high MoCA scores reported lower PC needs than participants with average MoCA scores, mean difference of the contrast (low and high vs. middle) = 2.15, P = 0.08. SIGNIFICANCE OF RESULTS: This study is a first step toward elucidating the relationship between cognitive impairment and PC needs in a diverse community sample of older adults. More research is needed to better understand the unique PC needs of older adults with cognitive impairment living in the community.
Entities:
Keywords:
Advanced care planning; Community-based older adults; Goals of care; Mild cognitive impairment; Palliative care
Authors: Juliana Francisco Cecato; José Eduardo Martinelli; Rafael Izbicki; Mônica Sanches Yassuda; Ivan Aprahamian Journal: Int Psychogeriatr Date: 2015-12-01 Impact factor: 3.878
Authors: Ziad S Nasreddine; Natalie A Phillips; Valérie Bédirian; Simon Charbonneau; Victor Whitehead; Isabelle Collin; Jeffrey L Cummings; Howard Chertkow Journal: J Am Geriatr Soc Date: 2005-04 Impact factor: 5.562
Authors: Elissa Kozlov; Anna Cai; Jo Anne Sirey; Angela Ghesquiere; M Carrington Reid Journal: Am J Hosp Palliat Care Date: 2018-05-23 Impact factor: 2.500
Authors: Robert S Wilson; Patricia A Boyle; Eisuke Segawa; Lei Yu; Christopher T Begeny; Sophia E Anagnos; David A Bennett Journal: Psychol Aging Date: 2013-02-18