scholarly journals Sex-Specific Differences in End-of-Life Burdensome Interventions and Antibiotic Therapy in Nursing Home Residents With Advanced Dementia

2019 ◽  
Vol 2 (8) ◽  
pp. e199557 ◽  
Author(s):  
Nathan M. Stall ◽  
Hadas D. Fischer ◽  
Kinwah Fung ◽  
Vasily Giannakeas ◽  
Susan E. Bronskill ◽  
...  
Keyword(s):  
Nursing Home ◽  
Antibiotic Therapy ◽  
End Of Life ◽  
Nursing Home Residents ◽  
Advanced Dementia

Guilt as an Influencer in End-of-Life Care Decisions for Nursing Home Residents With Advanced Dementia

2022 ◽  
Vol 48 (1) ◽  
pp. 22-27
Author(s):  
Ashley Roach ◽  
Anita H. Rogers ◽  
Meghan Hendricksen ◽  
Ellen P. McCarthy ◽  
Susan L. Mitchell ◽  
...  
Keyword(s):  
Nursing Home ◽  
End Of Life ◽  
End Of Life Care ◽  
Nursing Home Residents ◽  
Life Care ◽  
Advanced Dementia

Use of Medications of Questionable Benefit at the End of Life in Nursing Home Residents with Advanced Dementia

2017 ◽  
Vol 65 (7) ◽  
pp. 1535-1542 ◽  
Author(s):  
Jeremy N. Matlow ◽  
Susan E. Bronskill ◽  
Andrea Gruneir ◽  
Chaim M. Bell ◽  
Nathan M. Stall ◽  
...  
Keyword(s):  
Nursing Home ◽  
End Of Life ◽  
Nursing Home Residents ◽  
Advanced Dementia

scholarly journals The last week of life of nursing home residents with advanced dementia: a retrospective study

2019 ◽  
Author(s):  
Franco Toscani ◽  
Silvia Finetti ◽  
Fabrizio Giunco ◽  
Ines Basso ◽  
Debora Rosa ◽  
...  
Keyword(s):  
Palliative Care ◽  
Nursing Home ◽  
Retrospective Study ◽  
End Of Life ◽  
Nursing Home Residents ◽  
Advanced Dementia ◽  
Term Care ◽  
Convenience Sample ◽  
Inappropriate Drugs ◽  
Clinical Records

Abstract Background: Barriers to palliative care still exist in long term care settings for older people, thus persons with advanced dementia may not receive adequate palliative care in the last days of their life; instead, they may be exposed to aggressive and/or inappropriate treatments. This study aimed to evaluate the clinical interventions and care at end of life in a cohort of Nursing Home (NH) residents with advanced dementia in a large Italian region (Lombardy Region). Methods: Retrospective study in a convenience sample of 29 NHs. Data were collected from the clinical records of 482 residents with advanced dementia, who had resided in the NH for at least 6 months before death, mainly focusing on the last week of life. Results: Most residents (97.1%) died in the NH. In the seven days before death, 20% were fed and hydrated by mouth, and 13.4% were tube fed. A median of five, often inappropriate, drugs were prescribed. The acknowledgement of worsening condition in clinical records was recorded for 57% of residents, a median of four days before death. Conclusions: Full implementation of palliative care was not achieved possibly due to the insufficient acknowledgement of the appropriateness of some drugs and interventions, and health professionals’ lack of implementation of end-of-life palliative care decisions. Future studies should focus on how to improve care for NH residents.

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