{"id":148359,"date":"2025-07-29T13:00:45","date_gmt":"2025-07-29T17:00:45","guid":{"rendered":"https:/news/wp-json/wp/v2/posts/148359///news/wp-json/wp/v2/posts/148359//www.ucf.edu/news/wp-json/wp/v2/posts/148359//news/news/wp-json/wp/v2/posts/148359//?p=148359"},"modified":"2025-07-29T12:22:34","modified_gmt":"2025-07-29T16:22:34","slug":"ucf-professor-seeks-to-improve-end-of-life-care-for-dementia-patients-with-data-tool","status":"publish","type":"post","link":"https:/news/wp-json/wp/v2/posts/148359///news/wp-json/wp/v2/posts/148359//www.ucf.edu/news/wp-json/wp/v2/posts/148359//news/news/wp-json/wp/v2/posts/148359//ucf-professor-seeks-to-improve-end-of-life-care-for-dementia-patients-with-data-tool/news/wp-json/wp/v2/posts/148359//","title":{"rendered":"麻豆原创 Professor Seeks to Improve End-of-Life Care for Dementia Patients With Data Tool"},"content":{"rendered":"<p>Dementia not only affects cognitive and functional abilities, but it/news/wp-json/wp/v2/posts/148359/u2019s also among the country/news/wp-json/wp/v2/posts/148359/u2019s leading causes of death. When dementia patients are not transitioned into end-of-life care in a timely manner, the delay can cause unnecessary pain, distress and confusion for both them and their loved ones /news/wp-json/wp/v2/posts/148359/u2014 an issue <a href=/news/wp-json/wp/v2/posts/148359/"https:/news/wp-json/wp/v2/posts/148359///news/wp-json/wp/v2/posts/148359//ccie.ucf.edu/news/wp-json/wp/v2/posts/148359//person/news/wp-json/wp/v2/posts/148359//latarsha-chisholm/news/wp-json/wp/v2/posts/148359///news/wp-json/wp/v2/posts/148359/">Latarsha Chisholm</news/wp-json/wp/v2/posts/148359//a> works to help alleviate.</news/wp-json/wp/v2/posts/148359//p>/news/wp-json/wp/v2/posts/148359/n<h2>Challenges With Quality of Care</news/wp-json/wp/v2/posts/148359//h2>/news/wp-json/wp/v2/posts/148359/n<p>Chisholm, an associate professor in the <a href=/news/wp-json/wp/v2/posts/148359/"https:/news/wp-json/wp/v2/posts/148359///news/wp-json/wp/v2/posts/148359//www.ucf.edu/news/wp-json/wp/v2/posts/148359//college/news/wp-json/wp/v2/posts/148359//community-innovation-education/news/wp-json/wp/v2/posts/148359///news/wp-json/wp/v2/posts/148359/">College of Community Innovation and Education</news/wp-json/wp/v2/posts/148359//a>/news/wp-json/wp/v2/posts/148359/u2019s <a href=/news/wp-json/wp/v2/posts/148359/"https:/news/wp-json/wp/v2/posts/148359///news/wp-json/wp/v2/posts/148359//ccie.ucf.edu/news/wp-json/wp/v2/posts/148359//hmi/news/wp-json/wp/v2/posts/148359///news/wp-json/wp/v2/posts/148359/">School of Global Health Management and Informatics</news/wp-json/wp/v2/posts/148359//a>, studies nursing home residents living with advanced dementia. She says many facilities struggle to identify the right end-of-life-care transition time due to lack of resources caused by differences in reimbursement.</news/wp-json/wp/v2/posts/148359//p>/news/wp-json/wp/v2/posts/148359/n<p>/news/wp-json/wp/v2/posts/148359/u201cThe way nursing homes are reimbursed creates a two-tiered system,/news/wp-json/wp/v2/posts/148359/u201d Chisholm says. /news/wp-json/wp/v2/posts/148359/u201cYou have nursing homes paid for privately or through Medicare, where the reimbursement is higher, and nursing homes with mostly Medicaid residents, where the reimbursement is lower. When you have this difference in reimbursements, you have differences in resources available to facilities, which creates imbalances in quality of care./news/wp-json/wp/v2/posts/148359/u201d</news/wp-json/wp/v2/posts/148359//p>/news/wp-json/wp/v2/posts/148359/n<p>But there/news/wp-json/wp/v2/posts/148359/u2019s also another issue at hand /news/wp-json/wp/v2/posts/148359/u2014 a lack of discussions taking place about hospice options. Chisholm says these conversations can be challenging for patients, families and nursing home staff alike.</news/wp-json/wp/v2/posts/148359//p>/news/wp-json/wp/v2/posts/148359/n<p>/news/wp-json/wp/v2/posts/148359/u201cWe don/news/wp-json/wp/v2/posts/148359/u2019t like to talk about death, even though it/news/wp-json/wp/v2/posts/148359/u2019s going to happen to all of us,/news/wp-json/wp/v2/posts/148359/u201d Chisholm says. /news/wp-json/wp/v2/posts/148359/u201cStaff may not feel knowledgeable enough to have these discussions, and patients and their families may have /news/wp-json/wp/v2/posts/148359/u2026 religious [beliefs or perspectives based on their backgrounds] that make them uncomfortable with the subject./news/wp-json/wp/v2/posts/148359/u201d</news/wp-json/wp/v2/posts/148359//p>/news/wp-json/wp/v2/posts/148359/n<p>While these conversations may be difficult, they are important. Chisholm says patients who never express their wishes for end-of-life care leave those big decisions to their families and care providers.</news/wp-json/wp/v2/posts/148359//p>/news/wp-json/wp/v2/posts/148359/n<p>/news/wp-json/wp/v2/posts/148359/u201cMany patients with advanced dementia can no longer speak for themselves, and family members are usually proxies to discuss their care needs,/news/wp-json/wp/v2/posts/148359/u201d Chisholm says. /news/wp-json/wp/v2/posts/148359/u201cWhen you/news/wp-json/wp/v2/posts/148359/u2019re no longer able to speak for yourself and you haven/news/wp-json/wp/v2/posts/148359/u2019t expressed your wishes, your family can only assume what you want. You could end up receiving unnecessary care that neither improves your quality of life nor helps you live longer./news/wp-json/wp/v2/posts/148359/u201d</news/wp-json/wp/v2/posts/148359//p>/news/wp-json/wp/v2/posts/148359/n<figure id=/news/wp-json/wp/v2/posts/148359/"attachment_148362/news/wp-json/wp/v2/posts/148359/" style=/news/wp-json/wp/v2/posts/148359/"max-width: 1200px;/news/wp-json/wp/v2/posts/148359/" class=/news/wp-json/wp/v2/posts/148359/"figure/news/wp-json/wp/v2/posts/148359/"><noscript><img decoding=/news/wp-json/wp/v2/posts/148359/"async/news/wp-json/wp/v2/posts/148359/" width=/news/wp-json/wp/v2/posts/148359/"1200/news/wp-json/wp/v2/posts/148359/" height=/news/wp-json/wp/v2/posts/148359/"800/news/wp-json/wp/v2/posts/148359/" class=/news/wp-json/wp/v2/posts/148359/"figure-img size-full wp-image-148362 img-fluid/news/wp-json/wp/v2/posts/148359/" 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src=/news/wp-json/wp/v2/posts/148359/"data:image/news/wp-json/wp/v2/posts/148359//svg+xml,%3Csvg%20xmlns%3D%22http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%22%20viewBox%3D%220%200%201200%20800%22%3E%3C%2Fsvg%3E/news/wp-json/wp/v2/posts/148359/" alt=/news/wp-json/wp/v2/posts/148359/"Latarsha Chisholm standing next to a poster of her research on advanced-care planning for nursing homes./news/wp-json/wp/v2/posts/148359/" srcset=/news/wp-json/wp/v2/posts/148359/"data:image/news/wp-json/wp/v2/posts/148359//svg+xml,%3Csvg%20xmlns%3D%22http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%22%20viewBox%3D%220%200%201200%20800%22%3E%3C%2Fsvg%3E 1200w/news/wp-json/wp/v2/posts/148359/" sizes=/news/wp-json/wp/v2/posts/148359/"(max-width: 1200px) 100vw, 1200px/news/wp-json/wp/v2/posts/148359/" 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https:/news/wp-json/wp/v2/posts/148359///news/wp-json/wp/v2/posts/148359//www.ucf.edu/news/wp-json/wp/v2/posts/148359//wp-content/news/wp-json/wp/v2/posts/148359//blogs.dir/news/wp-json/wp/v2/posts/148359//20/news/wp-json/wp/v2/posts/148359//files/news/wp-json/wp/v2/posts/148359//2025/news/wp-json/wp/v2/posts/148359//07/news/wp-json/wp/v2/posts/148359//Latarsha-Chisholm-360x240.jpg 360w/news/wp-json/wp/v2/posts/148359/" data-src=/news/wp-json/wp/v2/posts/148359/"https:/news/wp-json/wp/v2/posts/148359///news/wp-json/wp/v2/posts/148359//www.ucf.edu/news/wp-json/wp/v2/posts/148359//wp-content/news/wp-json/wp/v2/posts/148359//blogs.dir/news/wp-json/wp/v2/posts/148359//20/news/wp-json/wp/v2/posts/148359//files/news/wp-json/wp/v2/posts/148359//2025/news/wp-json/wp/v2/posts/148359//07/news/wp-json/wp/v2/posts/148359//Latarsha-Chisholm.jpg/news/wp-json/wp/v2/posts/148359/"><figcaption class=/news/wp-json/wp/v2/posts/148359/"figure-caption/news/wp-json/wp/v2/posts/148359/">Latarsha Chisholm is developing tools and strategies to help nursing homes better navigate end-of-life decisions for people living with advanced dementia.</news/wp-json/wp/v2/posts/148359//figcaption></news/wp-json/wp/v2/posts/148359//figure>/news/wp-json/wp/v2/posts/148359/n<h2>Resources for Support, Communication and Planning</news/wp-json/wp/v2/posts/148359//h2>/news/wp-json/wp/v2/posts/148359/n<p>Inspired to foster this critical dialogue and help prepare dementia patients for a smoother transition, Chisholm and a cross-collaborative team are working with nursing homes to establish a standardized process for determining when to transition residents into hospice. Through a series of stakeholder interviews, the team proposed using the Mitchell Index /news/wp-json/wp/v2/posts/148359/u2014 a data-collecting tool that calculates the mortality risk of dementia patients /news/wp-json/wp/v2/posts/148359/u2014 to predict which residents have the greatest need for advanced-care planning conversations, helping staff give those residents a timely opportunity to discuss their desires.</news/wp-json/wp/v2/posts/148359//p>/news/wp-json/wp/v2/posts/148359/n<p>Chisholm says the care providers the team has worked with have responded positively, indicating that the Mitchell Index could be successfully adapted for use in long-term care settings. Now, they need a tool to help promote and facilitate end-of-life-care planning conversations /news/wp-json/wp/v2/posts/148359/u2014 and that/news/wp-json/wp/v2/posts/148359/u2019s where her research comes in.</news/wp-json/wp/v2/posts/148359//p>/news/wp-json/wp/v2/posts/148359/n<p>/news/wp-json/wp/v2/posts/148359/u201cOne nursing home found that the Mitchell Index facilitated their need to have discussions about advanced-care planning, and they want more information on how to do that,/news/wp-json/wp/v2/posts/148359/u201d Chisholm says. /news/wp-json/wp/v2/posts/148359/u201cOur next step is to link the Mitchell Index study with my research, which talks about promoting goals-of-care discussions. Combining these two will create a full picture and help us give people a more comfortable, respectful death./news/wp-json/wp/v2/posts/148359/u201d</news/wp-json/wp/v2/posts/148359//p>/news/wp-json/wp/v2/posts/148359/n<p>Going forward, Chisholm says the goal of her research is to improve the quality of care for all nursing home residents.</news/wp-json/wp/v2/posts/148359//p>/news/wp-json/wp/v2/posts/148359/n<p>/news/wp-json/wp/v2/posts/148359/u201cIn the last 10 to 20 years, we/news/wp-json/wp/v2/posts/148359/u2019ve seen a shift in nursing homes from hospital-like care to more of a home-like environment,/news/wp-json/wp/v2/posts/148359/u201d Chisholm says. /news/wp-json/wp/v2/posts/148359/u201cI love this move toward person-centered care /news/wp-json/wp/v2/posts/148359/u2014 really trying to understand who the resident is, listening to them, and focusing not just on their physical needs but on their overall well-being. Nursing homes often get a bad rap, and there/news/wp-json/wp/v2/posts/148359/u2019s a lot we can do to improve both the quality of care and how people perceive them./news/wp-json/wp/v2/posts/148359/u201d</news/wp-json/wp/v2/posts/148359//p>/news/wp-json/wp/v2/posts/148359/n","protected":false},"excerpt":{"rendered":"<p>From determining when hospice is necessary to promoting conversations about end-of-life care, Latarsha Chisholm is helping nursing homes give dementia patients a more peaceful final chapter.</news/wp-json/wp/v2/posts/148359//p>/news/wp-json/wp/v2/posts/148359/n","protected":false},"author":8692,"featured_media":148360,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"lazy_load_responsive_images_disabled":false,"footnotes":"","_links_to":"","_links_to_target":"","_wp_rev_ctl_limit":""},"categories":[12,24],"tags":[17177,14751,22543,10541,45080],"tu_author":[],"class_list":["post-148359","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","category-science-technology","tag-college-of-community-innovation-and-education","tag-faculty-excellence","tag-healthcare","tag-latarsha-chisholm","tag-school-of-global-health-management-and-informatics"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v22.3 (Yoast SEO v27.3) - 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