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Four retrospective-cohort presentations use data from the Utah Caregiving Population Science study to analyze EOL care and place of death across rurality, nursing home representation, serious mental illness, and fragility-fracture history, and identify determinants for policy and practice.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/characterizing-end-of-life-care-among-older-adults-experiencing-heightened-vulnerability/421759/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/characterizing-end-of-life-care-among-older-adults-experiencing-heightened-vulnerability/421759.png","ImageObject",300,407,{"name":92,"@type":93},"Putri","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What problem does the symposium address about end-of-life care for older adults?","Question",{"text":112,"@type":113},"It highlights unequal access to high-quality EOL care and the limited understanding of how highly vulnerable older adults receive care, where they die, and which social and family factors influence their final days.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What data source is used across the four presentations?",{"text":117,"@type":113},"All studies use retrospective cohort designs drawing on the Utah Caregiving Population Science (Utah C-PopS) study, described as the only population-based, family-linked dataset in the United States.",{"name":119,"@type":110,"acceptedAnswer":120},"How does the symposium synthesize findings for practice and policy?",{"text":121,"@type":113},"The discussant reviews cross-cutting medical, social, and caregiving determinants driving increased need for more formalized EOL care, and outlines implications for tailoring EOL care practices and corresponding policies.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},421759,1790793169,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24,"preview_page_count":4},962085571259,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","8 Innovation in Aging, 2025, Vol. 9, No. S2  \nSESSION 1025 (SYMPOSIUM)   \nAbstract citation ID: igaf122.026  \nCHARACTERIZING END-OF-LIFE CARE AMONG  \nOLDER ADULTS EXPERIENCING HEIGHTENED  \nVULNERABILITY  \nChair: Caroline Stephens  \nCo-Chair: Laura Block  \nDiscussant: Katherine Ornstein  \nAccess to high-quality end-of-life (EOL) care is not equally distributed. Yet, little is known about how some of our most vulnerable older adults access this care, where they die, or the social and family factors that influence their final days. This symposium includes 4 presentations focused on EOL care and place of death among highly vulnerable older adult populations. Each study employs a retrospective cohort design to examine different cohorts using data from the Utah Caregiving Population Science (Utah C-PopS) study –the only population-based, family-linked dataset in the United States. The first presentation describes the relationship between place of death and cause of death, with key differences by rurality. The second presentation identifies unrepresented nursing home residents, or those without family, and compares their sociodemographic and EOL care utilization by rural versus urban nursing home status. The third presentation examines a cohort of persons aged 55+ with serious mental illness to identify differences in place of death and the role of comorbid dementia and family availability. The last presentation examines rates of EOL care utilization in the last two years of  \nInnovation in Aging, 2025, Vol. 9, No. S2 9  \nlife for decedents with a history of non-metastatic fragility fractures, focusing on the impact of dementia and family availability.  \nOur discussant, Dr. Ornstein, will then review cross-cutting themes from these presentations, highlighting the medical, social, and caregiving determinants driving the increased need for more formalized EOL care. She will also discuss implications for better tailoring of EOL care practices and corresponding policies for these vulnerable older adults.","cbCaipuCkYnCQ6iY","https://ap.wps.com/l/cbCaipuCkYnCQ6iY","pdf",83748,"English","# Session 1025 (Symposium)\n## Access disparities and study overview\n## Rurality and place/cause of death\n## Nursing home representation and family absence\n## Serious mental illness, dementia, and family availability\n## Fragility fractures, EOL utilization, and dementia effects\n## Discussant themes and implications","[{\"question\":\"What problem does the symposium address about end-of-life care for older adults?\",\"answer\":\"It highlights unequal access to high-quality EOL care and the limited understanding of how highly vulnerable older adults receive care, where they die, and which social and family factors influence their final days.\"},{\"question\":\"What data source is used across the four presentations?\",\"answer\":\"All studies use retrospective cohort designs drawing on the Utah Caregiving Population Science (Utah C-PopS) study, described as the only population-based, family-linked dataset in the United States.\"},{\"question\":\"How does the symposium synthesize findings for practice and policy?\",\"answer\":\"The discussant reviews cross-cutting medical, social, and caregiving determinants driving increased need for more formalized EOL care, and outlines implications for tailoring EOL care practices and corresponding policies.\"}]","CHARACTERIZING END-OF-LIFE CARE AMONG OLDER ADULTS EXPERIENCING HEIGHTENED VULNERABILITY | PDF",1790625542]