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.

Science & research, Public affairs, Nursing & Rest Homes, Nursing and Residential Care Facilities, Nursing and Personal Care Facilities, Residential care, Homes for Aged, Homes for the Elderly, Social aspects, Research, Usage, Cognition, Nursing homes, Geriatrics, Enteral feeding, Enteral nutrition, Tube feeding, Speech therapists

---

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.

Legal issues & crime, Government regulation (cont), Government regulation, Services information, Legal/Government Regulation, Economic aspects, Laws, regulations and rules, Services, Complications and side effects, Hospitalization, Aged patients, Elderly patients, Nursing home care, Hospital care

---

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.

Management dynamics, Analysis, Management, Patient satisfaction, Company business management, Nursing home patients

Similar abstracts:

• Abstracts: State practice variations in the use of tube feeding for nursing home residents with severe cognitive impairments
• Abstracts: Daytime sleepiness is associated with 3-year incident dementia and cognitive decline in older Japanese-American men
• Abstracts: Healthcare costs associated with percutaneous endoscopic gastrostomy among older adults in a defined community
• Abstracts: Decision making and the principles of screening for breast cancer. Breast cancer screening in older women: an overview
• Abstracts: The role of pain in the last year of life of older persons. Psychometric characteristics of the Minimum Data Set I: confirmatory factor analysis

This website is not affiliated with document authors or copyright owners. This page is provided for informational purposes only. Unintentional errors are possible.