Document Detail

End-of-life care in assisted living and related residential care settings: comparison with nursing homes.
MedLine Citation:
PMID:  14687388     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To define the current state of end-of-life care in residential care/assisted living (RC/AL) facilities and nursing homes (NHs) and to compare these two types of care settings. DESIGN: Interviews of staff and family informants about deaths that occurred during a longitudinal study. SETTING: Fifty-five RC/AL facilities and 26 NHs in Florida, Maryland, New Jersey, and North Carolina. PARTICIPANTS: Two hundred twenty-four staff and family informants that best knew the 73 RC/AL residents and 72 NH residents who died in or within 3 days after discharge from a study facility. MEASUREMENTS: Telephone interviews conducted with the facility staff member who knew the decedent best and the family member who was most involved in care during the last month of life of the decedent. Data were collected on circumstances of death, perceptions of dying process, cause of death, care during the last month of life, mood, discomfort, and family satisfaction. RESULTS: Most decedents died in the facility where they had resided, and more than half of the subjects were alone when they died. Greater proportions of staff and family in the NHs knew that the resident's death was only days or weeks away. Both RC/AL and NH residents experienced few highly negative moods, and even on their most uncomfortable day, the overall discomfort was low for residents in both facility types. Summary ratings of family satisfaction were significantly higher for the RC/AL (32.1) than the NH (41.2) group (P=.016). CONCLUSION: These data suggest that end-of-life care in RC/AL settings appears similar in process and outcomes to that provided in NHs. Thus, aging and dying-in-place can effectively occur in RC/AL.
Philip D Sloane; Sheryl Zimmerman; Laura Hanson; C Madeline Mitchell; Charlene Riedel-Leo; Verita Custis-Buie
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of the American Geriatrics Society     Volume:  51     ISSN:  0002-8614     ISO Abbreviation:  J Am Geriatr Soc     Publication Date:  2003 Nov 
Date Detail:
Created Date:  2003-12-22     Completed Date:  2004-02-09     Revised Date:  2008-03-10    
Medline Journal Info:
Nlm Unique ID:  7503062     Medline TA:  J Am Geriatr Soc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1587-94     Citation Subset:  IM    
Department of Family Medicine School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA.
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MeSH Terms
Aged, 80 and over
Assisted Living Facilities / standards
Cause of Death
Health Care Surveys
Longitudinal Studies
Nursing Homes / standards
Patient Satisfaction
Quality of Health Care
Residential Facilities / standards*
Terminal Care / standards*
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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