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Associations between unmet palliative care needs and cognitive impairment in a sample of diverse, community-based older adults

Published online by Cambridge University Press:  25 June 2020

Elissa Kozlov Open the ORCID record for Elissa Kozlov [Opens in a new window] ,
Matthew J. Wynn ,
M. Carrington Reid ,
Charles R. Henderson Jr. ,
XinQi Dong  and
Jo Anne Sirey
Elissa Kozlov*
Affiliation:
Rutgers University, Institute for Health, Health Care Policy and Aging Research, New Brunswick, NJ, USA
Matthew J. Wynn
Affiliation:
Department of Psychology, Washington University in St. Louis, St. Louis, MO, USA
M. Carrington Reid
Affiliation:
Department of Geriatrics and Palliative Care, Weill Cornell Medicine, New York, NY, USA
Charles R. Henderson Jr.
Affiliation:
Cornell University, College of Human Ecology, Ithaca, NY, USA
XinQi Dong
Affiliation:
Rutgers University, Institute for Health, Health Care Policy and Aging Research, New Brunswick, NJ, USA
Jo Anne Sirey
Affiliation:
Department of Psychiatry, Weill Cornell Medicine, New York, NY, USA
*
Author for correspondence: Elissa Kozlov, Institute for Health, 12 Patterson St, New Brunswick, NJ 08901, USA. E-mail: elissa.kozlov@rutgers.edu
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Abstract

Objective

Given a large number of community-based older adults with mild cognitive impairment, it is essential to better understand the relationship between unmet palliative care (PC) needs and mild cognitive impairment in community-based samples.

Method

Participants consisted of adults ages 60+ receiving services at senior centers located in New York City. The Montreal Cognitive Assessment (MoCA) and the Unmet Palliative Care Needs screening tool were used to assess participants’ cognitive status and PC needs.

Results

Our results revealed a quadratic relationship between unmet PC needs and mild cognitive impairment, controlling for gender, living status, and age. Participants with either low or high MoCA scores reported lower PC needs than participants with average MoCA scores, mean difference of the contrast (low and high vs. middle) = 2.15, P = 0.08.

Significance of results

This study is a first step toward elucidating the relationship between cognitive impairment and PC needs in a diverse community sample of older adults. More research is needed to better understand the unique PC needs of older adults with cognitive impairment living in the community.

Keywords

Advanced care planningCommunity-based older adultsGoals of careMild cognitive impairmentPalliative care
Type
Original Article
Information
Palliative & Supportive Care , Volume 19 , Issue 1 , February 2021 , pp. 41 - 45
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Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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