Palliative Excellence in Alzheimer Care Efforts (PEACE): A program description

Joseph W. Shega, Amy Levin, Gavin W. Hougham, Deon Cox-Hayley, Daniel Luchins, Patricia Hanrahan, Carol Stocking, Greg Sachs

Research output: Contribution to journalArticle

62 Citations (Scopus)

Abstract

Hospice is the standard method for providing quality end-of-life care in the United States. However, studies reveal that persons with dementia are infrequently referred to hospice, that barriers exist to increasing hospice utilization in this population, and that patients with dementia would benefit from hospice or hospice-like services earlier in the disease course. The Palliative Excellence in Alzheimer Care Efforts (PEACE) program responds to these deficiencies, striving to improve end-of-life care of persons with dementia and to integrate palliative care into the primary care of patients with dementia throughout the course of the illness. The PEACE program is a disease management model for dementia that incorporates advance planning, patient-centered care, family support, and a palliative care focus from the diagnosis of dementia through its terminal stages. PEACE is coordinated through the primary care geriatrics practice of the University of Chicago. Patients and caregivers are interviewed every 6 months for 2 years, and a postdeath interview is conducted with caregivers. These interviews assess care domains important for the optimal care of persons with dementia and their caregivers. A nurse coordinator reviews interviews and provides feedback to physicians, facilitating enhanced individual care and continuous quality improvement for the practice. Initial feedback suggests patients have adequate pain control, satisfaction with quality of care, appropriate attention to prior stated wishes, and death occurring in the patient's location of choice. Families voiced similar high marks regarding quality of care. This program demonstrates an innovative model of providing quality palliative care for dementia patients and their caregivers.

Original languageEnglish (US)
Pages (from-to)315-320
Number of pages6
JournalJournal of Palliative Medicine
Volume6
Issue number2
StatePublished - Apr 2003
Externally publishedYes

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Program Development
Dementia
Hospices
Caregivers
Quality of Health Care
Palliative Care
Terminal Care
Interviews
Primary Health Care
Patient-Centered Care
Disease Management
Quality Improvement
Geriatrics
Nurses
Quality of Life
Physicians
Pain

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Shega, J. W., Levin, A., Hougham, G. W., Cox-Hayley, D., Luchins, D., Hanrahan, P., ... Sachs, G. (2003). Palliative Excellence in Alzheimer Care Efforts (PEACE): A program description. Journal of Palliative Medicine, 6(2), 315-320.

Palliative Excellence in Alzheimer Care Efforts (PEACE) : A program description. / Shega, Joseph W.; Levin, Amy; Hougham, Gavin W.; Cox-Hayley, Deon; Luchins, Daniel; Hanrahan, Patricia; Stocking, Carol; Sachs, Greg.

In: Journal of Palliative Medicine, Vol. 6, No. 2, 04.2003, p. 315-320.

Research output: Contribution to journalArticle

Shega, JW, Levin, A, Hougham, GW, Cox-Hayley, D, Luchins, D, Hanrahan, P, Stocking, C & Sachs, G 2003, 'Palliative Excellence in Alzheimer Care Efforts (PEACE): A program description', Journal of Palliative Medicine, vol. 6, no. 2, pp. 315-320.
Shega JW, Levin A, Hougham GW, Cox-Hayley D, Luchins D, Hanrahan P et al. Palliative Excellence in Alzheimer Care Efforts (PEACE): A program description. Journal of Palliative Medicine. 2003 Apr;6(2):315-320.
Shega, Joseph W. ; Levin, Amy ; Hougham, Gavin W. ; Cox-Hayley, Deon ; Luchins, Daniel ; Hanrahan, Patricia ; Stocking, Carol ; Sachs, Greg. / Palliative Excellence in Alzheimer Care Efforts (PEACE) : A program description. In: Journal of Palliative Medicine. 2003 ; Vol. 6, No. 2. pp. 315-320.
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