Background: Planning ahead may be particularly relevant in dementia considering patients'
cognitive decline and difficulty to predict the course of the dementia. Objective: To identify …

A nutritionally vulnerable older adult has a reduced physical reserve that limits the ability to
mount a vigorous recovery in the face of an acute health threat or stressor. Often, this …

Importance A recent Centers for Disease Control and Prevention report found that more
persons die at home. This has been cited as evidence that persons dying in the United …

Background Health care transitions in the last months of life can be burdensome and
potentially of limited clinical benefit for patients with advanced cognitive and functional …

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 test whether a decision aid improves quality of decision‐making about feeding
options in advanced dementia. Design Cluster randomized controlled trial. Setting Twenty …

Close to 6 million Americans have Alzheimer's disease (AD) or Alzheimer's disease and
related dementia (AD/ADRD). These high‐need, high‐cost patients are vulnerable to …

Dementia is a leading cause of death in the United States. This article outlines the current
understanding of advanced dementia and identifies research priorities for the next decade …

When eating difficulties arise, feeding tubes are not recommended for older adults with
advanced dementia. Careful hand feeding should be offered because hand feeding has …

Importance Better advance care planning (ACP) can help promote goal-directed care in
patients with advanced dementia. Objectives To test whether an ACP video (vs usual care) …