Research Topics
| Laura C HansonSummaryAffiliation: University of North Carolina Country: USA Publications
Research Grants
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Detail Information
Publications
Improving decision-making for feeding options in advanced dementia: a randomized, controlled trialLaura C Hanson
Division of Geriatric Medicine, University of North Carolina, Chapel Hill, NC, USA
J Am Geriatr Soc 59:2009-16. 2011..To test whether a decision aid improves quality of decision-making about feeding options in advanced dementia...
Measuring palliative care quality for seriously ill hospitalized patientsLaura C Hanson
Division of Geriatrics and Palliative Care Program, University of North Carolina, Chapel Hill, NC 27599, USA
J Palliat Med 15:798-804. 2012..We tested feasibility, usability, reliability, and validity of Prepare, Embrace, Attend, Communicate, Empower (PEACE) quality measures for palliative care...- Successful clinical trial research in nursing homes: the Improving Decision-Making StudyLaura C Hanson
Division of Geriatric Medicine and Palliative Care Program, University of North Carolina, Chapel Hill, NC 27599 7550, USA
Clin Trials 7:735-43. 2010..The cluster randomized trial, Improving Decision Making about Feeding Options for Dementia Patients, tests a decision aid intervention to improve the quality of decision making for this choice... - Oral feeding options for people with dementia: a systematic reviewLaura C Hanson
Division of Geriatric Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
J Am Geriatr Soc 59:463-72. 2011..To review the benefits of oral feeding options in people with dementia... - Clinical and economic impact of palliative care consultationLaura C Hanson
University of North Carolina Palliative Care Program, Department of Medicine, Chapel Hill, NC 27599 7550, USA
J Pain Symptom Manage 35:340-6. 2008..Palliative care consultation is followed by decisions to forego costly treatment and improved symptom scores, and earlier palliative care intervention results in greater cost-savings... - Hospices' preparation and practices for quality measurementLaura C Hanson
Department of Medicine, Division of Geriatric Medicine and Palliative Care Program, University of North Carolina, Chapel Hill, North Carolina 27599 7550, USA
J Pain Symptom Manage 39:1-8. 2010..Little is known about hospices' readiness to meet this new mandate... - Providers and types of spiritual care during serious illnessLaura C Hanson
Division of Geriatric Medicine, University of North Carolina, Chapel Hill, North Carolina 27599, USA
J Palliat Med 11:907-14. 2008..The objective of this study was to describe spiritual care received by patients and families during serious illness, and test whether the provider and the type of care is associated with satisfaction with care... - Physicians' expectations of benefit from tube feedingLaura C Hanson
Division of Geriatric Medicine, University of North Carolina at Chapel Hill, NC 27599 7550, USA
J Palliat Med 11:1130-4. 2008..We interviewed treating physicians to describe their expectation of benefit for patients receiving a new feeding tube, and to determine whether expected benefits vary by patient characteristics... - The PEACE project review of clinical instruments for hospice and palliative careLaura C Hanson
Division of Geriatric Medicine and Center on Aging and Health, Gillings School of Global Public Health University of North Carolina, Chapel Hill, North Carolina 27599 7550, USA
J Palliat Med 13:1253-60. 2010..We undertook a systematic review and evaluation of published patient-level instruments for potential application in hospice and palliative care clinical quality measurement... 
Symptom experience of dying long-term care residentsLaura C Hanson
Cecil G Sheps Center for Health Services Research, and Division of Geriatric Medicine, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA
J Am Geriatr Soc 56:91-8. 2008....- Meeting palliative care needs in post-acute care settings: "to help them live until they die"Laura C Hanson
Division of Geriatric Medicine, Pain and Symptom Care Program, University of North Carolina, Chapel Hill 27599 7550, USA
JAMA 295:681-6. 2006..Expanding, replicating, and disseminating these studies will be necessary to improve care for the growing number of persons who die in post-acute care settings... - Palliative care: innovation in care at the end of lifeLaura C Hanson
Division of Geriatric Medicine, Department of Medicine, University of North Carolina at Chapel Hill, USA
N C Med J 65:202-8. 2004 - An exploratory study of spiritual care at the end of lifeTimothy P Daaleman
Department of Family Medicine, Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 7595, USA
Ann Fam Med 6:406-11. 2008..We explored how clinicians and other health care workers understand and view spiritual care provided to dying patients and their family members... - Pain, dyspnea, and the quality of dying in long-term careAnthony J Caprio
Department of Medicine, Division of Geriatric Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 7550, USA
J Am Geriatr Soc 56:683-8. 2008..To evaluate the relationship between pain, dyspnea, and family perceptions of the quality of dying in long-term care... - Surrogates' perceptions about feeding tube placement decisionsCarmen L Lewis
Division of General Internal Medicine and Clinical Epidemiology, University of North Carolina at Chapel Hill, 5039 Old Clinic Building 229, CB 7110, Chapel Hill, NC 27599 7110, USA
Patient Educ Couns 61:246-52. 2006..2) To determine surrogates' perceptions of the information they received to make this decision... - Physician practices for communicating with patients with cystic fibrosis about the use of noninvasive and invasive mechanical ventilationElisabeth P Dellon
Department of Pediatrics, Division of Pulmonology, University of North Carolina, Chapel Hill, NC 27599 7217, USA
Chest 141:1010-7. 2012..Many patients with advanced cystic fibrosis (CF) lung disease receive intensive treatments such as noninvasive and invasive mechanical ventilation for respiratory failure after little or no communication with physicians... - Caregiver perspectives on discussions about the use of intensive treatments in cystic fibrosisElisabeth P Dellon
Division of Pulmonology, Department of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, North Carolina 27599 7217, USA
J Pain Symptom Manage 40:821-8. 2010..There are no guidelines for selecting patients whose survival and quality of life may be enhanced by such treatments or for communication with patients and caregivers about possible treatment outcomes... - Dying with dementia in long-term carePhilip D Sloane
Abt Associates, Durham, North Carolina, USA
Gerontologist 48:741-51. 2008..To better understand the experiences and potential unmet need of persons who die in long-term care... - Development and pilot testing of a decision aid for surrogates of patients with prolonged mechanical ventilationChristopher E Cox
Department of Medicine, Duke University, Durham, NC, USA
Crit Care Med 40:2327-34. 2012..We aimed to develop and pilot test a decision aid for shared decision makers of patients undergoing prolonged mechanical ventilation... - Family caregiver perspectives on symptoms and treatments for patients dying from complications of cystic fibrosisElisabeth P Dellon
Division of Pulmonology, Department of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, North Carolina 27599 7217, USA
J Pain Symptom Manage 40:829-37. 2010..Little has been reported about symptom management and the continuation of disease-specific treatments near the end of life for patients with CF... - Needs of the dying in nursing homesKimberly Reynolds
Program on Aging, Center for Health Ethics and Policy, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599-7110, USA
J Palliat Med 5:895-901. 2002..Efforts to improve end-of-life care in nursing homes should combine traditional palliative care services with increased attention to emotional symptoms and personal care services... - A prognostic model for one-year mortality in patients requiring prolonged mechanical ventilationShannon S Carson
Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA
Crit Care Med 36:2061-9. 2008..Our objective was to develop and validate a prognostic model for 1-yr mortality in patients ventilated for 21 days or more... - Use of electronic documentation for quality improvement in hospiceJohn G Cagle
University of North Carolina at Chapel Hill, USA
Am J Med Qual 27:282-90. 2012..Use of ED may help hospices monitor quality and compliance... - A quality improvement intervention to increase palliative care in nursing homesLaura C Hanson
Division of Geriatric Medicine, School of Medicine, University of North Carolina at Chapel Hill, 27599, USA
J Palliat Med 8:576-84. 2005..Death is common in nursing homes, but access to palliative care is limited... - Is hospice associated with improved end-of-life care in nursing homes and assisted living facilities?Jean C Munn
School of Social Work, Cecil G Sheps Center for Health Services Research, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA
J Am Geriatr Soc 54:490-5. 2006.... - Disparities in pain management between cognitively intact and cognitively impaired nursing home residentsKimberly S Reynolds
School of Medicine, Division of Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 7030, USA
J Pain Symptom Manage 35:388-96. 2008.... - Barriers to hospice for children as perceived by hospice organizations in North CarolinaAna Milena Sanchez Varela
Division of Pediatric Hematology and Oncology, University of North Carolina at Chapel Hill, 27599, USA
Am J Hosp Palliat Care 29:171-6. 2012..Enhanced training of pediatric providers and a model of care which blends disease-specific treatment with hospice may improve access to hospice services for children... - Development and validation of a printed information brochure for families of chronically critically ill patientsShannon S Carson
Departments of Medicine, University of North Carolina, Chapel Hill, NC, USA
Crit Care Med 40:73-8. 2012.... - Randomized, controlled trials of interventions to improve communication in intensive care: a systematic reviewLeslie P Scheunemann
Division of Geriatric Medicine, Center for Aging and Health, The Medical Intensive Care Unit, CB 7550, University of North Carolina Hospitals, and the Cecil B Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC 27599 7550, USA
Chest 139:543-54. 2011..Recent research studies have tested interventions designed to improve communication quality and outcomes between providers and families of patients in the ICU. We conducted a systematic review of these studies... - Interventions to improve transitional care between nursing homes and hospitals: a systematic reviewMichael A LaMantia
Division of Geriatric Medicine and Center for Aging and Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA
J Am Geriatr Soc 58:777-82. 2010..Although preliminary evidence supports adoption of these methods to improve transitions between nursing home and hospital, further research is needed to define target populations and outcomes measures for high-quality transitional care... - The potential use of autopsy for continuous quality improvement in hospice and palliative careFranziska S Rokoske
The Carolinas Center for Medical Excellence, Cary, North Carolina, USA
Medscape J Med 10:289. 2008..As part of our work, we investigated the potential uses of autopsy for continuous quality improvement purposes... - Communication, decision making, and cancer: what African Americans want physicians to knowSharon W Williams
Department of Allied Health Sciences, Division of Speech and Hearing Sciences, Chapel Hill, North Carolina 27599, USA
J Palliat Med 11:1221-6. 2008..To explore and identify communication and decision making with health care providers for African Americans living with cancer and for their families... - Implementing person-centered care in nursing homesCherie A Rosemond
Institute on Aging, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
Health Care Manage Rev 37:257-66. 2012..Because person-centered care requires organization-wide change, implementation can be challenging... - Beyond autonomy: diversifying end-of-life decision-making approaches to serve patients and familiesGary S Winzelberg
Division of Geriatric Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA
J Am Geriatr Soc 53:1046-50. 2005..The goal of these priorities is to promote understanding of patients' and families' decision-making preferences and goals and to minimize decision-making burdens on families... - Access to nursing home hospice: perspectives of nursing home and hospice administratorsLaura C Hanson
Division of Geriatric Medicine and Program on Aging, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA
J Palliat Med 8:1207-13. 2005..We surveyed nursing home and hospice administrators to describe facilitators and barriers to hospice in nursing homes, and to test whether nursing home administrators' attitudes correlate with hospice use... - As individual as death itself: a focus group study of terminal care in nursing homesLaura C Hanson
Division of General Internal Medicine, Program on Aging, University of North Carolina School of Medicine, Chapel Hill, North Carolina 27599 7110, USA
J Palliat Med 5:117-25. 2002..The significance of these themes may be tested in the design of interventions to improve care of the dying in long-term care... - Impact of a decision aid on surrogate decision-makers' perceptions of feeding options for patients with dementiaE Amanda Snyder
Division of Geriatric Medicine and Center for Aging and Health, School of Medicine, University of North Carolina, Chapel Hill, NC
J Am Med Dir Assoc 14:114-8. 2013.... - Caregivers' perspectives on decision making about lung transplantation in cystic fibrosisElisabeth P Dellon
Department of Pediatrics, Division of Pulmonology, CB 7217, 5119 B Bioinformatics Building, 130 Mason Farm Road, UNC School of Medicine, Chapel Hill, NC 27599 7217, USA
Prog Transplant 19:318-25. 2009..No standards exist for informed decision making about transplantation... - Using quality improvement to address pain management practices in nursing homesJanice K Horner
Medical Review of North Carolina, Inc, Cary, North Carolina, USA
J Pain Symptom Manage 30:271-7. 2005..Among residents with daily moderate or excruciating pain, complete pain assessment was associated with increased probability of pain medication use. Quality improvement is a promising method to improve pain management in nursing homes... - Integrating palliative care information and hospice referral in medicaid primary careAnnette Beyea
Palliative Care Program, Department of Medicine, Division of Geriatric Medicine and Center for Aging and Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
J Palliat Med 16:376-82. 2013..Hospice and palliative care (PC) remain underutilized by Medicaid patients... - Performance of osteoporosis risk assessment tools in postmenopausal women aged 45-64 yearsMargaret L Gourlay
Department of Family Medicine, University of North Carolina, Chapel Hill, NC 27599, USA
Osteoporos Int 16:921-7. 2005..Of the three tools evaluated, the OST is the simplest and has the best potential for use in clinical practice... - Relationships between psychosocial-spiritual well-being and end-of-life preferences and values in African American dialysis patientsMi Kyung Song
Division of Adult and Geriatric Health, School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 7460, USA
J Pain Symptom Manage 38:372-80. 2009..In future research, the assessment of spirituality should not be limited to its intensity or degree but extended to other dimensions... - Measuring the quality of dying in long-term careJean C Munn
College of Social Work, Florida State University, Tallahassee, Florida 32306, USA
J Am Geriatr Soc 55:1371-9. 2007.... - End-of-life care in nursing home settings: do race or age matter?Kimberly S Reynolds
UNC Project, Lilongwe, Malawi
Palliat Support Care 6:21-7. 2008..S. chronic-disease deaths occur in nursing homes, yet few studies examine palliative care quality in these settings. This study tests whether racial and/or age-based differences in end-of-life care exist in these institutional settings... - Palliative care clinical research networks, a requirement for evidence-based palliative care: time for coordinated actionAmy P Abernethy
J Palliat Med 10:845-50. 2007 - Creating excellent palliative care in nursing homesLaura C Hanson
J Palliat Med 6:7-9. 2003
Research Grants
- Improving Decision-Making about Feeding Options for Dementia PatientsLaura Hanson; Fiscal Year: 2007..If successful, this intervention will demonstrate a methodology with broader application to decision-making in dementia care. ..
- Improving Decision-Making about Feeding Options for Dementia PatientsLaura Hanson; Fiscal Year: 2009..If successful, this intervention will demonstrate a methodology with broader application to decision-making in dementia care. ..