Latest advanced dementia Stories
Nursing home residents with advanced dementia commonly experience burdensome, costly interventions that do not improve their quality of life or extend their survival.
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.
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.
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.
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.
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.
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.
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.
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.
Understanding clinical course of disease leads to better end-of-life care.
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