This Article Full Text (PDF) All Versions of this Article: 1049909108322295v1 1049909108322295v2 25/6/476    most recent References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Resnick, H. E. Articles by Weissman, J. S. Search for Related Content PubMed PubMed Citation Articles by Resnick, H. E. Articles by Weissman, J. S. Pubmed/NCBI databases Medline Plus Health Information Nursing Homes Social Bookmarking                         What's this?

Advance Directives in Nursing Home Residents Aged 65 Years: United States 2004

Institute for the Future of Aging Services, American Association of Homes and Services for the Aging, Department of Medicine, Georgetown University Washington, DC, hresnick{at}aahsa.org

Jeremiah D. Schuur, MD, MHS

Department of Emergency Medicine, Brigham and Women's Hospital, Department of Medicine, Harvard Medical School Boston

Janice Heineman, PhD

Institute for the Future of Aging Services, American Association of Homes and Services for the Aging

Robyn Stone, DrPH

Institute for the Future of Aging Services, American Association of Homes and Services for the Aging

Joel S. Weissman, PhD

Department of Health Care Policy, Harvard Medical School and the Department of Health Policy and Management, Harvard School of Public Health, Institute for Health Policy, Massachusetts General Hospital Boston, Massachusetts

In 1996, 53% of US nursing home residents had advance directives. This report defines documentation of advance directives in a nationally representative survey of US nursing home residents aged !65 years in 2004, as well as advance directive use in relation to demographic factors and receipt of specialty services including hospice/palliative care. In 2004, advance directives were documented in 69.9% of US nursing home residents aged !65 years and in 93.6% of residents receiving hospice/palliative care. Documentation of advance directives increased substantially between 1996 and 2004 and is nearly universal among residents receiving hospice/palliative care services. However in 2004, 3 of every 10 US nursing home residents did not have documentation of advance care plans. Continued efforts are needed to promote the importance of advance care planning among US nursing home residents.

Key Words: advance directives • nursing home • survey • long term care • aging

This version was published on January 1, 2009

American Journal of Hospice and Palliative Medicine®, Vol. 25, No. 6, 476-482 (2009)
DOI: 10.1177/1049909108322295


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?