Background: Advance care planning is the process of discussing and recording patient
preferences concerning goals of care for patients who may lose capacity or communication …

Context End-of-life care for people with dementia can be poor, involving emergency hospital
admissions, burdensome treatments of uncertain value, and undertreatment of pain and …

Background The worldwide debate over the use of artificial nutrition and hydration remains
controversial although the scientific and medical facts are unequivocal. Artificial nutrition and …

Background The use of enteral tube feeding for patients with advanced dementia who have
poor nutritional intake is common. In one US survey 34% of 186,835 nursing home residents …

Although end-of-life medical spending is often viewed as a major component of aggregate
medical expenditure, accurate measures of this type of medical spending are scarce. We …

While great strides have been made recently in improving end-of-life care in the United
States, people with dementia often die with inadequate pain control, with feeding tubes in …

Background Black patients tend to receive more life-prolonging care at the end of life (EOL)
than white patients. This study aimed to evaluate whether differences in patient-physician …

Feeding and eating difficulties leading to weight loss are common in the advanced stages of
dementia. When such problems arise, family members are often faced with making a …

Importance Standardized, evidenced-based approaches to conducting advance care
planning (ACP) in nursing homes are lacking. Objective To test the effect of an ACP video …

Objectives To examine survival with and without a percutaneous endoscopic gastrostomy
(PEG) feeding tube using rigorous methods to account for selection bias and to examine …