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Last updated on April 24, 2014 at 21:24 EDT

Latest advanced dementia Stories

2013-09-24 10:18:08

Nursing home residents with advanced dementia commonly experience burdensome, costly interventions that do not improve their quality of life or extend their survival. Now a new study suggests that providing intensive primary care services may result in less burdensome and less costly care for these terminally ill residents. Led by researchers at the Harvard Medical School-affiliated Institute for Aging Research at Hebrew SeniorLife, New York University School of Medicine, Harvard Medical...

2013-09-24 09:51:52

Elderly nursing home residents with advanced dementia who were enrolled in a Medicare managed care insurance plan were more likely to have do-not-hospitalize orders and were less likely to be hospitalized for acute illness than those residents enrolled in traditional Medicare, according to a study published by JAMA Internal Medicine, a JAMA Network publication. Recent health care reform in the United States increases opportunities to improve the quality and cost-effectiveness of care...

Hospitalization Increases Due To Hospice Barrier
2012-10-31 13:59:07

Brown University Because of a Medicare policy that prevents simultaneous reimbursement for skilled nursing and hospice care, many families cannot choose hospice for loved ones who reside in nursing homes. The result, new research shows, is that residents with advanced dementia who have Medicare skilled nursing home care without any hospice care have a far greater likelihood of dying in the hospital and receiving aggressive treatments such as feeding tubes or physical therapy within weeks...

2012-05-14 20:24:48

A new study from the Regenstrief Institute and Indiana University has found that, at time of death, individuals with dementia are more likely to be living at home than in a nursing home. This contradicts the commonly held view that most individuals with dementia in the United States eventually move to nursing homes and die there. "Transitions in Care for Older Adults With and Without Dementia" appears online in advance of publication in the May 2012 issue of the Journal of the American...

2011-09-29 11:04:43

People with dementia can still make decisions in their everyday lives and with support from partners can continue to do so as their condition advances. This is one of the preliminary findings of a two-year research project funded by the Economic and Social Research Council (ESRC) into how married couples living with dementia make decisions on a daily basis. The study is investigating how couples make decisions over issues such as what to eat or wear, as well as how they make more complex...

2011-05-05 22:02:40

In hundreds of interviews in five states with family members of persons who had advanced dementia, researchers found that their decision-making process for whether to insert a feeding tube often lacked necessary information for informed consent. Despite evidence that feeding tubes do not improve survival rates or quality of life for elderly patients with advanced dementia, their frequency of use varies widely across the states. A new survey of family members finds that discussions surrounding...

2011-01-10 15:30:26

Strategies that promote palliative care may reduce costs at end of life A large proportion of Medicare expenditures for nursing home residents with advanced dementia, a terminal illness, is spent on aggressive treatments that may be avoidable and of limited clinical benefit, according to a new study by the Institute for Aging Research, an affiliate of Harvard Medical School, published in the online version of the Archives of Internal Medicine on Jan. 10, 2011. The study examined Medicare...

2010-02-10 08:27:00

Researchers from Brown University and Harvard Medical School are calling for improved decision-making in the use of feeding tubes for hospitalized nursing home residents with advanced dementia. Their position follows an eight-year study, which found that the use of feeding tubes varies widely. Among their major findings: At 25 percent of the nation's acute-care hospitals, this vulnerable population had a one in 10 chance of having a feeding tube inserted. Twelve percent of acute-care...

2010-02-10 07:50:50

Despite being of questionable benefit for patients with advanced dementia, new research finds that hospitals with certain characteristics, such as those that are larger or for-profit, are more likely to have a higher rate of feeding tube placement, according to a study in the February 10 issue of JAMA. Dementia is a leading cause of death in the United States, and estimates project that 16 million individuals will have dementia by 2050. Characteristics of advanced dementia can include severe...

2009-10-15 12:26:12

Understanding clinical course of disease leads to better end-of-life care The clinical course of advanced dementia, including uncomfortable symptoms such as pain and high mortality, is similar to that experienced by patients of other terminal conditions, according to scientists at the Institute for Aging Research of Hebrew SeniorLife, an affiliate of Harvard Medical School. The study, published in the Oct. 15 issue of the New England Journal of Medicine, is the first to rigorously describe...