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Palliative Care Research Program for Older Adults

Mission

The over-riding goal of the Palliative Care Research Program for Older Adults at IFAR, directed by Dr Susan L. Mitchell is to conduct high quality clinical and health services research that will improve the palliative care provided to older patients their families. The program has a specific focus on palliative care provided to older persons and their families in the long-term care setting and related to advanced dementia.

Projects
The ADEPT study: Estimating Prognosis in Advanced Dementia

The main objective of the ADEPT study is to develop and validate a tool to estimate prognosis in advanced dementia. The tool will be derived from a nationwide Minimum Data Set database of from US nursing homes. Once derived the prognostic tool will be prospectively validated at the bedside of 400 nursing home residents with advanced dementia.
NIH-NIA R01 AG028423 Mitchell (PI) 9/01/06-6/31/10

CASCADE: Choices, Attitudes, Strategies for Advanced Dementia at the End-of-Life

CASCADE is a prospective cohort study of nursing home residents with advanced dementia and their families during the end-stages of the disease and during the dying process. The goals are to describe and identify modifiable factors associated with: 1. the clinical course and natural history of advanced dementia, 2. end-of-life decision-making, 3. satisfaction with end-of-life care, and 4. complicated grief.
NIH-NIA R01 AG024091 Mitchell (PI) 10/01/04-9/31/09


People

Director: Susan L. Mitchell MD, MPH, Senior Scientist, Hebrew Senior Life,
Associate Professor of Medicine, Harvard Medical School

Jane L Givens MD, MSCE,
Associate Scientist, Hebrew Senior Life, Instructor of Medicine, Harvard Medical School

Dan K Kiely, Research Associate, Hebrew Senior Life