JAMDA
Volume 8, Issue 4 , Pages 224-228 , May 2007

Advance Directives at End-of-Life: Nursing Home Resident Preferences for Artificial Nutrition

  • Cheryl A. Monturo, PhD, MBe, APRN, BC

      Affiliations

    • West Chester University College of Health Sciences, Department of Nursing, West Chester, PA
    • Corresponding Author InformationAddress correspondence to Cheryl A. Monturo, PhD, MBe, APRN, BC, (adding Department of Nursing) West Chester University College of Health Sciences, 222C Sturzebecker Health Sciences Center, West Chester, PA 19383.
    • ,
  • Neville E. Strumpf, PhD, RN, FAAN

      Affiliations

    • Hartford Center of Geriatric Nursing Excellence and Center for Gerontologic Nursing Science, School of Nursing, University of Pennsylvania, Philadelphia, PA.

References 

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  3. Owings MF, Lawrence L. Detailed diagnoses and procedures, National Hospital Discharge Survey, 1997. Vital and Health Statistics, Series 13: Data From the National Health Survey. 1999;145:1–157
  4. Centers for Medicare and Medicaid Services. MDS Active Resident Information Report: Third Quarter, Physical Functioning and Structural Problems Eating ADL Support. Vol 2005. Baltimore, MD: Centers for Medicare and Medicaid Services, 2004. Available at: http://www4.cms.hhs.gov/states/mdsreports/res3.asp?var/G1hB&date=8. Accessed January 7, 2005.
  5. Post SG. Tube feeding and advanced progressive dementia. Hastings Center Report. 2001;31(1):36–42
  6. Mitchell SL, Teno JM, Roy J, Kabumoto G, Mor V. Clinical and organizational factors associated with feeding tube use among nursing home residents with advanced cognitive impairment. JAMA. 2003;290(1):73–80
  7. Mitchell SL, Berkowitz RE, Lawson FME, Lipsitz LA. A cross-national survey of tube-feeding decisions in cognitively impaired older persons. J Am Geriatr Soc. 2000;48(4):391–397
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  11. Finucane TE, Christmas C, Travis K. Tube feeding in patients with advanced dementia: A review of the evidence [comment]. J Am Med Dir Assoc. 1999;282(14):1365–1370
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  14. Center for Gerontology and Health Care Research, Brown Medical School. Facts on dying: Policy relevant data on care at the end of life. CHCR Brown University, 2004. Available at: http://www.chcr.brown.edu/dying/policyfeedtube.htm. Accessed December 17, 2004.
  15. Mitchell SL, Buchanan JL, Littlehale S, Hamel MB. Tube-feeding versus hand-feeding nursing home residents with advanced dementia: A cost comparison. J Am Med Dir Assoc. 2003;4(1):27–33
  16. Comprehensive Older Americans Act of 1978, 42 USCA sections 3001–3058, Vol Pub. L. No. 95–478 (1978).
  17. Teno JM, Branco KJ, Mor V, et al. Changes in advance care planning in nursing homes before and after the Patient Self–Determination Act: Report of a 10-state survey. J Am Geriatr Soc. 1997;45(8):939–944
  18. Omnibus Budget Reconciliation Act, 42 USC (1395cc(a) (I)(Q), 1395 mm (c)(8), 1395cc(f), 1396a(a)(57), 1396a(a)(58), and 1396a(w) ed (1990).
  19. Joint Commission on the Accreditation of Healthcare Organizations. Comprehensive accreditation manual for long-term care: CAMLTC. Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations, 2000.
  20. Gessert CE, Mosier MC, Brown EF, Frey B. Tube feeding in nursing home residents with severe and irreversible cognitive impairment. J Am Geriatr Soc. 2000;48(12):1593–1600
  21. Fagerlin A, Schneider CE. Enough: The failure of the living will. Hasting Cent Rep. 2004;34(2):30–42
  22. Lo B, Steinbrook R. Resuscitating advance directives. Arch Intern Med. 2004;164(14):1501–1506
  23. Danis M, Southerland MPH, Garrett JM, et al. A prospective study of advance directives for life-sustaining care. N Engl J Med. 1991;324(13):882–888
  24. O’Brien LA, Siegert EA, Grisso JA, et al. Tube feeding preferences among nursing home residents. J Gen Intern Med. 1997;12:364–371
  25. Mitchell SL, Lawson FME. Decision-making for long-term tube-feeding in cognitively impaired elderly people. CMAJ. 1999;160(12):1705–1709
  26. Ouslander JG, Tymchuk AJ, Krynski MD. Medical ethics and humanities (Decisions about enteral tube feeding among the elderly). J Am Geriatr Soc. 1993;41(1):70–77
  27. Kayser-Jones J. The use of nasogastric feeding tubes in nursing homes: Patient, family and health care provider perspectives. Gerontologist. 1990;30(4):469–479
  28. Strumpf N, Tuch H, Stillman D, Parrish P, Morrison N. Implementing palliative care in the nursing home. Annals of Long-Term Care. 2004;12(11):35–41
  29. Stillman D, Strumpf N, Capezuti E, Tuch H. Staff perceptions concerning barriers and facilitators to end-of-life care in the nursing home. Geriatr Nurs. 2005;26(4):259–264
  30. Wang S. Weight loss and metabolic changes in dementia. J Nutr Health Aging. 2002;6(3):201–205
  31. Morley JE. Decreased food intake with aging. J Gerontol 2001. 2001;56A:81–88(special issue II)
  32. Center for Gerontology and Health Care Research, Brown Medical School. Facts on Dying: Policy relevant data on care at the end of life, Maryland State Profile. Vol 2004. Providence, RI: Center for Gerontology and Health Care Research, 2004. Available at: http://www.chcr.brown.edu/dying/mdprofile.htm. Accessed December 17, 2005.
  33. Ahronheim JC, Mulvihill MN, Sieger C, Park P, Fries BE. State practice variations in the use of tube feeding for nursing home residents with severe cognitive impairment. J Am Geriatr Soc. 2001;49:148–152

 Funding was provided by a National Institute of Nursing Research (NINR) Institutional Grant, Psychosocial Oncology (5T32 NR07036), 2001–2002; the John A. Hartford Foundation Building Academic Geriatric Nursing Capacity (BAGNC) Scholarship 2002–2004; and an Ethel F. Lord Fellowship, Soroptimist International of the Americas, 2001–2004.

PII: S1525-8610(07)00006-0

doi: 10.1016/j.jamda.2007.01.005

JAMDA
Volume 8, Issue 4 , Pages 224-228 , May 2007

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