Critical Decisions for Older People With Advanced Dementia: A Prospective Study in Long-Term Institutions and District Home Care
| Autor: | Franco Toscani, Jenny T. van der Steen, Silvia Finetti, Fabrizio Giunco, Francesca Pettenati, Daniele Villani, Massimo Monti, Simona Gentile, Lorena Charrier, Paola Di Giulio, Ventura Maurizio, Di Franco Gianni, Gandolfi Nicoletta, Saya Antonio, Mauro Anna, Colombetti Roberta, Pani Aldo, Cotticelli Claudio, Saba Lucia, Spotti Franco, Bacchi Giovanni, Gainotti Gianfranco, Belotti Gloria, Milesi Fiorenza, Rossi Borghesano Simona, Verando Emanuela, Migliorati Giuseppe, Premoli Monica, Manganelli Francesco, Caruso Marisa, Minuti Annalisa, Froldi Arnaldo, Chiesara Angelica, Subashi Blerina, Bellocchi Federica, D'Aquino Nicola, Giovinazzo Francesca, Bareggi Maria Chiara, Spertini Maria Teresa, Zucca Fabio, Grigis Maria, Conte Lorella, Panzera Tiziana, Cattaneo Carlo, Biason Antonella, Torchetti Maria Rosaria, Pelliccioli Irene, Di Maggio Maria Grazia, Villa Ivan, Monti Massimo, Gandelli Monica, Vignati Marco, Cutaia Chiara, Chiarella Gianna, Bellazzi Luca, Ribola Massimo, Rubini Elena, Raineri Chiara, Mainini Ermanna, Borsari Maria, Reggiani Alda, Balugani Paola, Buccella Milva, Cardillo Anna, Carillo Salvatore, Farinello Annalisa, Franchini Federica, Guidi Maria Grazia, Luise Luigi, Magnoni Elisa, Marchi Katia, Nava Letizia, Sabetta Anna, Sani Elena Sporziello Monica, Stermieri Lara, Martinelli Morena, Pirotti Mirco, Costi Adriana, Boni Manuela, Capedri Simonetta, Cavecchi Sonia, Dailari Nicoletta, Favali Enrica, Costoli Elena, Fossa Grazia, Mazzone Daniela, Patacini Paola, Ruozzi Gloria, Sironi Ornella, Murac Aurora, Trolla Lisa, Begotti Sabrina, Saba Andreina, Immovilli Maura, Ferrari Paola, Gabbi Monica, Saccani Maria |
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| Přispěvatelé: | General practice, EMGO - Quality of care |
| Rok vydání: | 2015 |
| Předmět: |
Male
end of life Pediatrics medicine.medical_specialty Palliative care Decision Making Comorbidity Disease Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] Interviews as Topic Quality of life medicine Humans Dementia Prospective Studies Medical prescription Prospective cohort study Geriatric Assessment General Nursing Aged Demography business.industry Health Policy General Medicine critical decisions medicine.disease Home Care Services Long-Term Care Survival Analysis end of life advanced dementia critical decisions Italy advanced dementia Advanced dementia Quality of Life Female Geriatrics and Gerontology Nursing homes business Follow-Up Studies |
| Zdroj: | Toscani, F, van der Steen, J T, Finetti, S, Giunco, F, Pettenati, F, Villani, D, Monti, M, Gentile, S, Charrier, L & di Giulio, P 2015, ' Critical Decisions for Older People With Advanced Dementia: A Prospective Study in Long-Term Institutions and District Home Care ', Journal of the American Medical Directors Association, vol. 16, no. 6, pp. 535-U169 . https://doi.org/10.1016/j.jamda.2015.02.012 Journal of the American Medical Directors Association, 16, 6, pp. 535.e13-20 Journal of the American Medical Directors Association, 16, 535.e13-20 Journal of the American Medical Directors Association, 16(6), 535-U169. Elsevier Inc. |
| ISSN: | 1525-8610 |
| DOI: | 10.1016/j.jamda.2015.02.012 |
| Popis: | Item does not contain fulltext OBJECTIVE: To describe and compare the decisions critical for survival or quality of life [critical decisions (CDs)] made for patients with advanced dementia in nursing homes (NHs) and home care (HC) services. DESIGN: Prospective cohort study with a follow-up of 6 months. SETTING: Lombardy Region (NHs) and Reggio-Emilia and Modena Districts (HC), Italy. PARTICIPANTS: Patients (496 total; 315 in NHs and 181 in HC) with advanced dementia (Functional Assessment Staging Tool score >/= 7) and expected survival >/= 2 weeks. MEASUREMENTS: At baseline, the patients' demographic data, date of admission and of dementia diagnosis, type of dementia, main comorbidities, presence of pressure sores, ongoing treatments, and current prescriptions were abstracted from clinical records. At baseline and every 15 days thereafter, information regarding the patients' general condition and CDs (deemed critical by the doctor or team) was collected by an interview with the doctor. For each CD, the physician reported the problem that led to the decision, that was eventually made, the purpose of the decision, whether the decision had been discussed with and/or communicated to the family, who made the final decision, whether the decision was maintained after 1 week, whether it corresponded to what the doctor would have judged appropriate, and the expected survival of the patient ( |
| Databáze: | OpenAIRE |
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