Article
Geriatrics & Gerontology
Ping Ye, Liam Fry, Jane Dimmitt Champion
Summary: During the COVID-19 pandemic, proactive Advance Care Planning (ACP) conversations with health care practitioners led to changes in care preferences among nursing home residents, including transitioning from full code status to Out of Hospital Do Not Resuscitate (DNR) status, and an increase in the preference for Do Not Hospitalize (DNH) care option to nearly half of the residents.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Geriatrics & Gerontology
Ellen M. McCreedy, Xiaofei Yang, Susan L. Mitchell, Roee Gutman, Joan Teno, Lacey Loomer, Patience Moyo, Angelo Volandes, Pedro L. Gozalo, Emmanuelle Belanger, Jessica Ogarek, Vincent Mor
Summary: The purpose of the study was to evaluate the impact of an ACP Video Program on documented DNH orders among nursing home residents with advanced illness. The results showed that compared to usual care, the ACP Video Program intervention increased the proportion of residents with new DNH orders, but did not significantly reduce hospitalizations.
Article
Nursing
Trygve J. L. Saevareid, Reidar Pedersen, Lisbeth Thoresen
Summary: The study describes the advance care planning in nursing homes involving residents with cognitive impairment and their next of kin. Challenges identified included vague preferences, lack of medical information, and focus on past and present rather than future end-of-life care. Residents with cognitive impairment can actively participate in advance care planning with the support of healthcare personnel, but there are several challenges that need to be addressed.
JOURNAL OF ADVANCED NURSING
(2021)
Article
Geriatrics & Gerontology
Laura Bavelaar, Mandy Visser, Philine Schlicksupp, Bram Tilburgs, Tessa van der Maaden, Wilco P. Achterberg, Jenny T. van der Steen
Summary: This study explored changes in advance care plans of nursing home residents with dementia following pneumonia, finding that changes were small and mostly involved refinements of treatment goals. Physicians reported that family members were often perceived as most influential in decision-making, with advance care planning rarely involving persons with dementia themselves.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Geriatrics & Gerontology
Patience Moyo, Lacey Loomer, Joan M. Teno, Roee Gutman, Ellen M. McCreedy, Emmanuelle Belanger, Angelo E. Volandes, Susan L. Mitchell, Vincent Mor
Summary: This study examined the relationship between an advance care planning (ACP) video intervention and end-of-life health care transitions. The results showed that video-assisted ACP was associated with a significant reduction in hospital transfers in the last 90 days of life among nursing home residents with advanced illness. However, the intervention did not have a significant impact on late health care transitions and multiple hospital transfers.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Geriatrics & Gerontology
Gill Garden, Adeela Usman, Donna Readman, Lesley Storey, Lindsey Wilkinson, Graham Wilson, Tom Dening, Adam L. Gordon, John R. F. Gladman
Summary: The study found that residents who participated in advance care planning (ACP) were more likely to die in care homes, but there was no reduction in hospital admissions. Many care homes were unwilling or unable to support the service. Further research is needed to investigate how to enlist the support of all care homes and explore the reasons for the lack of reduction in hospital admissions.
Article
Nursing
Alina Yee Man Ng, Naomi Takemura, Xinyi Xu, Robert Smith, Jojo Yan-yan Kwok, Denise Shuk Ting Cheung, Chia Chin Lin
Summary: This systematic review and meta-analysis aimed to determine the effect of advance care planning interventions on end-of-life outcomes in nursing home populations. The results showed that advance care planning interventions significantly increased the documentation of end-of-life care preferences but had no effect on satisfaction with end-of-life care from family caregivers' perspectives.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2022)
Article
Geriatrics & Gerontology
Rheda Adekpedjou, George A. Heckman, Paul C. Hebert, Andrew P. Costa, John Hirdes
Summary: Advance care directives (DNAR and DNH) for residents in long-term care homes are associated with increased health instability and death, and decreased hospitalization. DNH directives are not commonly used and are often overturned, suggesting a need for re-evaluation of policies.
Article
Geriatrics & Gerontology
Lacey Loomer, Jessica A. Ogarek, Susan L. Mitchell, Angelo E. Volandes, Roee Gutman, Pedro L. Gozalo, Ellen M. McCreedy, Vincent Mor
Summary: The study results showed that the use of ACP video program did not significantly reduce hospital transfers, burdensome treatment, or hospice enrollment among short-stay nursing home patients, and the fidelity to the intervention was low.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
Article
Clinical Neurology
Portia Y. Cornell, Wenhan Zhang, Lindsey Smith, Momotazur Rahman, David C. Grabowski, Paula Carder, Kali S. Thomas
Summary: Memory care in assisted living is associated with lower risks of hospitalization, nursing-home admission, and long-term nursing home placement compared to general assisted living.
ALZHEIMERS & DEMENTIA
(2022)
Article
Ethics
Joni Gilissen, Annelien Wendrich-van Dael, Chris Gastmans, Robert Vander Stichele, Luc Deliens, Karen Detering, Lieve Van den Block, Lara Pivodic
Summary: Nurses in nursing homes are more likely to conduct advance care planning conversations and documentation compared to care assistants and allied staff, but the latter two groups can also play a valuable role with additional training.
Article
Health Care Sciences & Services
Emilio Mota-Romero, Olga Rodriguez-Landero, Rocio Moya-Dieguez, Glaucione Marisol Cano-Garzon, Rafael Montoya-Juarez, Daniel Puente-Fernandez
Summary: This study aims to describe the provision of information and end-of-life preferences to nursing home residents and their families. The results show that residents, especially those with dementia, are provided with limited information about their health state. Most advance care interventions are not explored, except for hospital transfer and serotherapy. The decisions regarding palliative sedation and blood transfusion are lower among residents with dementia.
Article
Geriatrics & Gerontology
Hyun-Woo Chae, Jing Zhao, Young-Mi Ah, Kyung Hee Choi, Ju-Yeun Lee
Summary: This study estimated the nationwide prevalence of potentially inappropriate medication (PIM) use among nursing home residents and assessed their associations with hospitalization or emergency department visits. The use of PIMs was found to be associated with a higher risk of hospitalization or ED visits.
Article
Geriatrics & Gerontology
Patrick Quail, Heather Keller, Vanessa Vucea, George Heckman, Mehar Sasan, Veronique Boscart, Clare Ramsey, Allan Garland
Summary: This study explores the experiences of healthcare providers when facilitating Advance Care Planning (ACP) discussions within nursing homes. The findings suggest that the current ACP processes in nursing homes do not meet the needs of residents, families, or care teams. Lack of physician involvement and challenges in adhering to care plans during medical crises were also identified.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2023)
Article
Geriatrics & Gerontology
Vincent Guion, Philipe De Souto Barreto, Matteo Cesari, Yves Rolland
Summary: The quality of life in nursing home residents remains stable over 12 months regardless of pneumonia events, but seems to decline in residents hospitalized for pneumonia.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Oncology
Chi-Yin Kao, Sanchia Aranda, Mei Krishnasamy, Bridget Hamilton
EUROPEAN JOURNAL OF CANCER CARE
(2018)
Article
Nursing
Chi-Yin Kao, Bridget Hamilton, Yi-Fung Lin, Wen-Yu Hu
JOURNAL OF NURSING SCHOLARSHIP
(2019)
Article
Oncology
Chi-Yin Kao, Sanchia Aranda, Meinir Krishnasamy, Bridget Hamilton
EUROPEAN JOURNAL OF CANCER CARE
(2020)
Review
Oncology
Nhien Thi Thuy Huynh, Shu-Yi Fan, Chi-Yin Kao
Summary: Nurse-led educational interventions are effective in reducing anxiety and depression in cancer survivors with moderate effect sizes. Individual approach, combination of face-to-face interventions and materials, duration of 6 months, and a maximum of 60 minutes for each session could be considered in future educational interventions for anxiety management.
SUPPORTIVE CARE IN CANCER
(2022)
Article
Ethics
Thi Dung Le, Shih-Chun Lin, Mei-Chih Huang, Sheng-Yu Fan, Chi-Yin Kao
Summary: This study conducted a meta-synthesis to explore the impact of relational factors on medical decision-making in adults. The findings suggest that establishing supportive relationships, including between individuals, healthcare providers, and families, is crucial in the decision-making process. Healthcare providers should appreciate an individual's values and preferences and incorporate them into decision recommendations.
Article
Health Care Sciences & Services
Nuzul Sri Hertanti, Mei-Chih Huang, Chia-Ming Chang, Susan Jane Fetzer, Chi-Yin Kao
AUSTRALIAN JOURNAL OF PRIMARY HEALTH
(2020)