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 Nursing homes are important providers of end-of-life care to persons with
advanced dementia. Methods We used data from the Minimum Data Set (June 1, 1994, to …

Context Empiric data and expert opinion suggest that use of feeding tubes is not beneficial
for older persons with advanced dementia. Previous research has shown a 10-fold variation …

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 …

OBJECTIVES: Despite the evidence that feeding-tube use in persons with advanced
dementia is not associated with improved outcomes, there remains striking variation in their …

The number of older adults with cognitive impairment is increasing, and such adults often
require a surrogate to make decisions about health care. However, little is known about the …

UNINTENTIONAL weight loss represents a cardinal symptom of frailty in older persons (1–
6). Even a small decline in body mass in older persons is associated with mortality (7) …

Context Tube-feeding is of questionable benefit for nursing home residents with advanced
dementia. Approximately two-thirds of US nursing home residents who are tube fed had their …

Objective: Few studies have evaluated the end-of-life preferences of elderly patients in rural
communities and whether preferences are associated with level of health literacy. Design …