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Centre for Policy on Ageing | |
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| Nursing home resident use of care directives | | Author(s) | Daesman N Suri, Brian L Egleston, Jacob A Brody |
| Journal title | The Journals of Gerontology Series A: Biological sciences and Medical Sciences, vol 54A, no 5, May 1999 |
| Pages | pp M225-229 |
| Keywords | Residents [care homes] ; Mental health [elderly] ; Nursing homes ; Terminal care ; Medical care ; Rights [elderly] ; United States of America. |
| Annotation | The Patient Self-Determination Act 1991 requires that US nursing homes reimbursed by Medicaid or Medicare inform all residents on admission of their rights to enact care directives in the event of terminal illness. This study investigated the relationship between care directive use and a resident's functional status. The authors analysed a version of the Minimum Data Set (MDS+) from a single state. They selected 2,780 residents admitted to nursing homes in the first half of 1993 and followed their progress to the end of 1994. Of these, 292 (11%) had advance directives and 446 (17%) had "do not resuscitate" (DNR) orders on admission. Of those without care directives on admission, 143 (6%) subsequently had an advance directive and 339 (15%) subsequently had a DNR order. Cross-sectionally, older individuals and whites were more likely to have a care directive. Having poor cognitive and physical function was associated with having a DNR on admission. Longitudinally, longer stayers and whites were more likely to have an advance directive. Residents who lost physical function were more likely to have an advance directive and those who lost cognitive function were more likely to have a DNR order. (RH). |
| Accession Number | CPA-990825330 A |
| Classmark | KX: D: LHB: LV: LK: IKR: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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