JAMDA
Volume 8, Issue 3, Supplement 2 , Pages e35-e41 , March 2007

Eliciting Goals of Care in a Nursing Home

  • Christian Davis Furman, MD, MSPH, CMD

      Affiliations

    • Department of Family and Geriatric Medicine, University of Louisville, Louisville, KY
    • Corresponding Author InformationAddress correspondence to Christian Davis Furman, MD, MSPH, CMD, Department of Family and Geriatric Medicine, University of Louisville, Med Center One, 501 E. Broadway, Suite 240, Louisville, KY 40202.
    • ,
  • Susan E. Kelly, PhD

      Affiliations

    • Department of Sociology, University of Louisville, Louisville, KY
    • ,
  • Keith Knapp, MHA, PhD

      Affiliations

    • Department of Family and Geriatric Medicine, University of Louisville, Louisville, KY
    • ,
  • Robyn L. Mowery, PhD, LMFT

      Affiliations

    • Department of Family Studies, University of Kentucky, Louisville, KY.
    • ,
  • Toni Miles, MD, PhD

      Affiliations

    • Department of Family and Geriatric Medicine, University of Louisville, Louisville, KY

References 

  1. Weissman DE. Establishing treatment goals, withdrawing treatments, DNR orders. In:  Weissman DE editors. Improving End-of-Life Care: A Resource Guide for Physician Education. Milwaukee: The Medical College of Wisconsin, Inc; 1998;p. 94–100
  2. Hahn ME. Advance directives and patient-physician communication. JAMA. 2003;289:96
  3. The SUPPORT Principal Investigators. A controlled trial to improve outcomes for seriously ill hospitalized adults: The study to understand prognosis and preferences for outcomes and risks of treatments (SUPPORT). Anonymous JAMA. 1995;274:1591–1598[Publisher correction appears in JAMA 1996;275:1232]
  4. Teno J, Lynn J, Wenger N, et al. Advance directives for seriously ill hospitalized patients: Effectiveness with the patient self-determination act and the SUPPORT intervention. J Am Geriatr Soc. 1997;45:500–507
  5. Cavalieri TA, Latif W, Ciesielski J, et al. How physicians approach advance care planning in patients with mild to moderate Alzheimer’s disease. J Am Osteopathic Assoc. 2002;102:541–544
  6. The AM, Pasman R, Onweteaka-Phillipsen B, et al. Withholding the artificial administration of fluids and food from elderly patients with dementia: Ethnographic study. BMJ. 2002;325:1326–1330
  7. Brock DB, Foley DJ. Demography and epidemiology of dying in the U.S. with emphasis on deaths of older persons. Hosp J. 1998;13:49–60
  8. Teno JM. Advance directives for nursing home residents: Achieving compassionate, competent, cost-effective care. [editorial] JAMA. 2000;283:1481–1482
  9. Oliver DP, Porock D, Zweig S. End-of-life care in U.S. nursing homes: A review of the evidence. J Am Med Dir Assoc. 2004;5:147–155
  10. Teno JM. Now is the time to embrace nursing homes as a place of care for dying persons. [editorial] J Palliative Med. 2003;6:293–296
  11. Morrison RS, Chichin E, Carter J, et al. The effect of a social work intervention to enhance advance care planning documentation in the nursing home. J Am Geriatr Soc. 2005;53:290–294
  12. Gillick M, Berkman S, Cullen L. A patient-centered approach to advance medical planning in the nursing home. J Am Geriatr Soc. 1999;47:227–230
  13. Ersek M, Kraybill BM, Hansberry J. Assessing the educational needs and concerns of nursing home staff regarding end-of-life care. J Gerontol Nurs. 2000;26:16–26
  14. Molloy DW, Guyatt GH, Russo R, et al. Systematic implementation of an advance directive program in nursing homes: A randomized controlled trial. JAMA. 2000;283:1437–1444
  15. Malterud K. Qualitative research: Standards, challenges, and guidelines. Lancet. 2001;358:483–488
  16. Morse JM, Field PA. Qualitative Research Methods for Health Professionals. 2nd ed.. Thousand Oaks, CA: Sage Publications; 1995;
  17. Limerick M. Communicating with surrogate decision-makers in end-of-life situations: Substitutive descriptive language for the healthcare provider. American Journal of Hospice and Palliative Care. 2002;19:376–380
  18. Kiely DK, Mitchell SL, Marlow A, et al. Racial and state differences in the designation of advance directives in nursing home residents. J Am Geriatr Soc. 2001;49:1346–1352
  19. Rabow MW, Dibble SL, Pantilat SZ, McPhee SJ. The comprehensive care team: a controlled trial of outpatient palliative medicine consultation. Arch Intern Med. 2004;164:83–91
  20. Gillick MR. Adapting advance medical planning for the nursing home. J Palliative Med. 2004;7:357–361
  21. Glazier SR, Schuman J, Keltz E, et al. Taking the next steps in goal ascertainment: A prospective study of patient, team and family perspectives using a comprehensive standardized menu in a geriatric assessment and treatment unit. J Am Geraitr Soc. 2004;52:284–289
  22. Bern-Klug M, Gessert C, Crenner CW, et al. Getting everyone on the same page: Nursing home physicians’ perspectives on end-of-life care. J Palliative Med. 2004;7:533–544
  23. Lynn J, Goldstein NE. Advance care planning for fatal chronic illness: Avoiding commonplace errors and unwarranted suffering. Ann Intern Med. 2003;138:812–818

PII: S1525-8610(06)00613-X

doi: 10.1016/j.jamda.2006.12.006

JAMDA
Volume 8, Issue 3, Supplement 2 , Pages e35-e41 , March 2007

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