Nursing home characteristics associated with tube feeding in advanced cognitive impairment
Article Abstract:
In a n ursing home study it was found that having a full-time speech therapist on staff, more licensed nurses and fewer nursing assistants were independently associated with greater use of tube feeding in severely cognitively impaired nursing home residents. P otentially modifiable factors in nursing homes that may influence the practice of tube feeding in advanced cognitive impairment include advance directives, staffing ratio s, assessment by a speech therapist, specialized dementia units, and fiscal considerations. It seems limited resources and fiscal incentives motivate use of the intervention, which is inc reasingly shown to be not beneficial. Better terminal care may be given in a unit dedicated to this population.
Publication Name: Journal of the American Geriatrics Society
Subject: Seniors
ISSN: 0002-8614
Year: 2003
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Decision to hospitalize nursing home residents dying with advanced dementia
Article Abstract:
The factors affecting the decision whether or not to hospitalize nursing home residents with advanced dementia or Alzheimer's disease are discussed. The decision becomes all the more crucial at a time when the dementia patient is dying as it can result in considerable increase in healthcare costs apart from treatment difficulties. Nursing homes provide terminal care to patients and are subject to do-not-hospitalize order, which is applicable in the case of some of the residents.
Publication Name: Journal of the American Geriatrics Society
Subject: Seniors
ISSN: 0002-8614
Year: 2005
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Satisfaction with end-of-life care for nursing home residents with advanced dementia
Article Abstract:
Factors that improve advanced dementia patients' satisfaction regarding end-of-life care, based on healthcare proxies' scores, are presented.
Publication Name: Journal of the American Geriatrics Society
Subject: Seniors
ISSN: 0002-8614
Year: 2006
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- Abstracts: State practice variations in the use of tube feeding for nursing home residents with severe cognitive impairments
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