Journal of the American Geriatrics Society
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Multicenter Study Comparative Study
Hospice Care in Assisted Living Facilities Versus at Home: Results of a Multisite Cohort Study.
To compare residents of assisted living facilities receiving hospice with people receiving hospice care at home. ⋯ Three are several differences between residents of assisted living receiving hospice care and individuals living at home receiving hospice care. A better understanding of these differences could allow hospices to develop guidelines for better coordination of end-of-life care for the assisted living population.
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Healthcare Proxy Awareness of Suspected Infections in Nursing Home Residents with Advanced Dementia.
To determine healthcare proxy involvement in decision-making regarding infections in individuals with advanced dementia. ⋯ Proxies are unaware of and do not participate in decision-making for most suspected infections that NH residents with advanced dementia experience. Proxy awareness of episodes and documentation of provider-proxy discussions are not congruent.
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To describe the stability of cognitive impairment, not dementia (CIND) in a longitudinal cohort of primary care veterans. To examine the association between baseline brief cognitive screening tests, demographic and clinical characteristics, and cognitive decline. ⋯ A minority of subjects had worsening of cognitive function sufficient to change diagnostic category. Over an average of 2.5 years, subjects diagnosed with CIND at baseline reverted to normal cognition at a higher rate than progressed to dementia. Cognitive screening tests addressing multiple domains of cognitive impairment were predictive of cognitive decline.