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End-of-life care in assisted living and related residential care settings
 — comparison with nursing homes
Author(s)Philip D Sloane, Sheryl Zimmerman, Laura Hanson
Journal titleJournal of the American Geriatrics Society, vol 51, no 11, November 2003
Pagespp 1587-1594
KeywordsTerminal care ; Care homes ; Nursing homes ; Management [care] ; Quality ; Comparison ; United States of America.
AnnotationOf all deaths involving older people in the US, 21% occur in a long-term care facility. This study defined the state of end-of-life care in 55 residential care or assisted living (RC/AL) facilities and 26 nursing homes (NHs); and the two types of care settings were compared. Telephone interviews were conducted with 224 staff members and family informants who best knew 73 RC/AL residents and 72 NH residents who died within 3 days after discharge from a study facility. Data were collected on circumstances of death, perceptions of the dying process, cause of death, care during the last month of life, mood, discomfort, and family satisfaction. Most decedents had died in the facility where they had resided; more than half were alone when they died. Greater proportions of staff and family in the NHs knew that the resident's death was only days or weeks away. Both RC/AL and NH residents experienced few highly negative moods; and even on their most uncomfortable day, the overall discomfort was low for residents in both facility types. Summary ratings of family satisfaction were significantly higher for the RC/AL than the NH group. (RH).
Accession NumberCPA-031212210 A
ClassmarkLV: KW: LHB: QA: 59: 48: 7T

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