Journal of the American Medical Directors Association
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To evaluate the quality of reporting of randomized controlled trials for pharmacologic interventions in long-term care residents with dementia. ⋯ Clinicians and the public do not have high-quality information to guide pharmacologic decision making for long-term care residents with dementia. The reporting quality is highly variable in the trials reviewed, and concerns exist surrounding the conduct of several trials.
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The Psychosocial Resistance to Activities of Daily Living Index (PRADLI) was developed for psychiatric nurses, geropsychologists, and clinical social workers to assess the level of long-term care (LTC) residents' resistance to and cooperation with staff in performing activities of daily living. ⋯ The PRADLI is an instrument that can potentially be used by LTC staff to assess ADLs. Research on the use of the PRADLI as a treatment outcome instrument in multidisciplinary LTC settings is warranted. Assessing ADLs within the context of residents' cooperation with LTC is an important part of understanding residents' overall quality of life.
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To characterize Medicare skilled nursing facility (SNF) residents who become acutely ill with heart failure (HF) and assess the association between the outcomes of rehospitalization and mortality, and severity of the acute exacerbation, comorbidity, and processes of care. ⋯ For residents who develop an acute exacerbation of HF during a SNF stay, there is an association between attributes of nursing home care and the outcomes of rehospitalization and mortality.
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Comparative Study
Preferences for cardiopulmonary resuscitation among patients 80 years or older: the views of patients and their physicians.
To describe the cardiopulmonary resuscitation (CPR) preferences of hospitalized patients aged 80 and older. To examine physicians' perceptions of their patients' preferences and agreement between patients' and physicians' preferences, estimation of prognosis, and assessment of quality of life. ⋯ The majority of hospitalized patients 80 years older wanted CPR. When asked to imagine themselves in the same clinical situation as their patients, physicians were much less likely to want CPR and viewed CPR as undesirable for most patients. Physicians' estimates of patients' prognoses were less optimistic than patients' estimates, raising the possibility that physicians' knowledge of older patients' poor outcomes from CPR explains their lack of enthusiasm about CPR for most patients 80 years and older.