Here - American Geriatrics Society

P OSTER
A BSTRACTS
cancer (84%), liver cirrhosis (2%), end stage renal disease (2%),
and AIDS (2%). Overall, 38% of the patients seen by palliative
care died at home, 24% in the hospital, 5% in a nursing home, and
4% at an inpatient hospice. Sixty percent of patients who received a
palliative care consult went on to choose hospice for EOL care. In
multivariable analyses, patients with cancer (AOR: 2.23, 95% CI:
1.88, 2.65), those who had a social work assessment (1.39, 1.20,
1.62), and those with an advance directive (1.72, 1.41, 2.08) or DNR
order (2.11, 1.59, 2.80) were more likely to use hospice. Race and
ethnicity were not statistically significant predictors of hospice use
in this cohort.
Conclusion: In this cohort, once patients received a palliative
care consult, there were no racial and ethnic disparities in hospice
use. This suggests that despite being historically underutilized, palliative
care and hospice services are viable EOL care options for
URMs and persons of low SES. Though cancer sufferers often receive
palliative care consultation, continued efforts should be
made to encourage consultation for patients with other life-limiting
illnesses.
A61
Physical Restraints of Home-dwelling Elders: Perception by Home
Care Providers.
S. Kurata. Gerontological Nursing, Hamamatsu University School of
Medicine, Hamamatsu, Japan.
Supported By: Grant-in-Aid for Research Activity Start-up from
the Ministry of Education, Culture, Sports, Science and Technology
of Japan
Background: Family caregivers may unconsciously use physical
restraints on home-dwelling elders, which could include or lead to
abuse. Home care providers need to grasp the conditions and specificities
of physical restraints in home care and to support family caregivers.
I investigated how the home care providers perceive physical
restraints.
Methods: A self-administered questionnaire survey was conducted
for home care providers (home helpers, visiting nurses, visiting
physicians, and care managers) of home-dwelling elders: the Japanese
version of the perceptions of Physical Restraint Use Questionnaire;
whether or how they recognize 12 physical restraints prohibited in institutions
and 10 harmful effects of physical restraints; and whether
they have taken courses of physical restraints.
Results: Total 568 home care providers responded: 201 home
helpers, 78 visiting nurses, 131 visiting physicians, and 158 care managers.
The number of physical restraints recognized as prohibited was
significantly different among visiting physicians (5.2±2.9), visiting
nurses (5.9±3.2), home helpers (6.3±3.3), and care managers (8.4±2.6;
p