当前位置： SCI文献检索 > JOURNAL OF THE AMERICAN GERIATRICS SOCIETY期刊下所有文献 > Improving decision-making for feeding options in advanced dementia: a randomized, controlled trial.

Improving decision-making for feeding options in advanced dementia: a randomized, controlled trial.

Abstract：

OBJECTIVES:To test whether a decision aid improves quality of decision-making about feeding options in advanced dementia. DESIGN:Cluster randomized controlled trial. SETTING:Twenty-four nursing homes in North Carolina. PARTICIPANTS:Residents with advanced dementia and feeding problems and their surrogates. INTERVENTION:Intervention surrogates received an audio or print decision aid on feeding options in advanced dementia. Controls received usual care. MEASUREMENTS:Primary outcome was the Decisional Conflict Scale (range: 1-5) measured at 3 months; other main outcomes were surrogate knowledge, frequency of communication with providers, and feeding treatment use. RESULTS:Two hundred fifty-six residents and surrogate decision-makers were recruited. Residents' average age was 85; 67% were Caucasian, and 79% were women. Surrogates' average age was 59; 67% were Caucasian, and 70% were residents' children. The intervention improved knowledge scores (16.8 vs 15.1, P < .001). After 3 months, intervention surrogates had lower Decisional Conflict Scale scores than controls (1.65 vs 1.90, P < .001) and more often discussed feeding options with a healthcare provider (46% vs 33%, P = .04). Residents in the intervention group were more likely to receive a dysphagia diet (89% vs 76%, P = .04) and showed a trend toward greater staff eating assistance (20% vs 10%, P = .08). Tube feeding was rare in both groups even after 9 months (1 intervention vs 3 control, P = .34). CONCLUSION:A decision aid about feeding options in advanced dementia reduced decisional conflict for surrogates and increased their knowledge and communication about feeding options with providers.

journal_name

J Am Geriatr Soc

journal_title

Journal of the American Geriatrics Society

authors

Hanson LC,Carey TS,Caprio AJ,Lee TJ,Ersek M,Garrett J,Jackman A,Gilliam R,Wessell K,Mitchell SL

doi

10.1111/j.1532-5415.2011.03629.x

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

2009-16

issue

11

eissn

0002-8614

issn

1532-5415

journal_volume

59

pub_type

杂志文章,多中心研究,随机对照试验

相关文献

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY文献大全
  • Mortality in Incident Cognitive Impairment: Results of the Prospective AgeCoDe Study.

    abstract：OBJECTIVES:To investigate mortality risk and survival time in new-incident cases of cognitive impairment (CI) in old age. DESIGN:Prospective cohort study in six German cities. SETTING:German Study on Ageing, Cognition, and Dementia in Primary Care Patients (AgeCoDe). PARTICIPANTS:Two thousand eighty-nine nondemented...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章,多中心研究

    doi：10.1111/jgs.14666

    authors： Luck T,Riedel-Heller SG,Roehr S,Wiese B,van der Leeden C,Heser K,Bickel H,Pentzek M,König HH,Werle J,Mamone S,Mallon T,Wolfsgruber S,Weeg D,Fuchs A,Brettschneider C,Scherer M,Maier W,Weyerer S,AgeCoDe study group.

    更新日期：2017-04-01 00:00:00

  • Association of Alzheimer's disease and smoking: the case for sibling controls.

    abstract：OBJECTIVES:To study the association between cigarette smoking and Alzheimer's Disease (AD). DESIGN:Intrafamily case-control, with sibling controls and a variable number of controls per case. SETTING:AD cases were identified through the Research Registry of the University Hospitals of the Cleveland/Case Western Reserv...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/j.1532-5415.2000.tb04756.x

    authors： Debanne SM,Rowland DY,Riedel TM,Cleves MA

    更新日期：2000-07-01 00:00:00

  • Influence of caregiving on health-related quality of life among American Indians.

    abstract：:Caregiving can have a profound effect on the health of the caregiver, yet research on caregiving among American Indians is limited. The purpose of this study was to examine the influence of caregiving on the health-related quality of life (HRQoL) of American Indians enrolled in the Education And Research Towards Healt...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/jgs.12409

    authors： Spencer SM,Goins RT,Henderson JA,Wen Y,Goldberg J

    更新日期：2013-09-01 00:00:00

  • Charles Bonnet syndrome: an early marker for dementia?

    abstract：OBJECTIVE:To clarify the neuropsychological function in patients with Charles Bonnet Syndrome. DESIGN:Control group comparison study. SETTING:University of Chicago Hospitals. PARTICIPANTS:The neuropsychological function of 15 older adults with presenting complaints of visual hallucinations who met criteria for Charl...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章,评审

    doi：10.1111/j.1532-5415.1996.tb02937.x

    authors： Pliskin NH,Kiolbasa TA,Towle VL,Pankow L,Ernest JT,Noronha A,Luchins DJ

    更新日期：1996-09-01 00:00:00

  • Serum total and bioavailable testosterone levels, central obesity, and muscle strength changes with aging in healthy Chinese men.

    abstract：OBJECTIVES:To investigate the effects of the changes in serum bioavailable and total testosterone (TT) levels with aging on visceral body fat distribution and muscle strength in Chinese men. DESIGN:Cross-sectional study. SETTING:Ambulatory care. PARTICIPANTS:Four hundred seventy-five healthy ambulatory Chinese men (...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/j.1532-5415.2008.01746.x

    authors： Chu LW,Tam S,Kung AW,Lo S,Fan S,Wong RL,Morley JE,Lam KS

    更新日期：2008-07-01 00:00:00

  • Disease severity and health-related quality of life across different chronic conditions.

    abstract：OBJECTIVES:Measurements of health-related quality of life (HRQL) are an essential component in overall assessment of health status, particularly in older patients. Nevertheless, how measures of HRQL relate to measures of disease severity is largely unexplored. This study was carried out to explore the relationship betw...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：

    authors： Ferrucci L,Baldasseroni S,Bandinelli S,de Alfieri W,Cartei A,Calvani D,Baldini A,Masotti G,Marchionni N

    更新日期：2000-11-01 00:00:00

  • Patterns of comorbidity in older adults with heart failure: the Cardiovascular Research Network PRESERVE study.

    abstract：OBJECTIVES:To examine whether the total burden of comorbidity and pattern of co-occurring conditions varies in individuals with heart failure (HF) with preserved left ventricular ejection fraction (LVEF) (HF-P) or HF with reduced LVEF (HF-R). DESIGN:Cross-sectional cohort study. SETTING:Four participating health plan...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 历史文章,杂志文章,多中心研究

    doi：10.1111/jgs.12062

    authors： Saczynski JS,Go AS,Magid DJ,Smith DH,McManus DD,Allen L,Ogarek J,Goldberg RJ,Gurwitz JH

    更新日期：2013-01-01 00:00:00

  • Cause of Death and End-of-Life Experiences in Individuals with Dementia with Lewy Bodies.

    abstract：OBJECTIVES:To investigate the natural history, cause of death, and end-of-life experiences of individuals diagnosed with dementia with Lewy bodies (DLB). DESIGN:Twenty-question online survey administered through the Lewy Body Dementia Association. SETTING:United States. PARTICIPANTS:Caregivers, family, and friends o...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/jgs.15608

    authors： Armstrong MJ,Alliance S,Corsentino P,DeKosky ST,Taylor A

    更新日期：2019-01-01 00:00:00

  • Sleep duration and mortality according to health status in older adults.

    abstract：OBJECTIVES:To examine the association between usual sleep duration and mortality according to physical and mental health status in older adults. DESIGN:Prospective study conducted from 2001 to 2008. SETTING:Community-based study. PARTICIPANTS:Cohort study of 3,820 persons representative of the noninstitutionalized p...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/j.1532-5415.2010.03071.x

    authors： Mesas AE,López-García E,León-Muñoz LM,Guallar-Castillón P,Rodríguez-Artalejo F

    更新日期：2010-10-01 00:00:00

  • Racial and ethnic differences in the mental health needs and access to care of older adults in california.

    abstract：:Little is known about the unmet mental health needs of minority older adults. Racial and ethnic differences in the prevalence rates of psychological distress and reported need and use of mental health services were examined in a population-based sample of older adults using the 2005 California Health Interview Survey....

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/j.1532-5415.2009.02573.x

    authors： Sorkin DH,Pham E,Ngo-Metzger Q

    更新日期：2009-12-01 00:00:00

  • Developing a stroke unit using the acute care for elders intervention and model of care.

    abstract：:The Acute Care for Elders (ACE) model of care is a multicomponent intervention that improves outcomes for older patients hospitalized for acute medical illnesses. Likewise, stroke units improve outcomes for patients with acute stroke, yet the descriptions of their structure and approach to stroke management are hetero...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章,评审

    doi：10.1046/j.1532-5415.2003.51521.x

    authors： Allen KR,Hazelett SE,Palmer RR,Jarjoura DG,Wickstrom GC,Weinhardt JA,Lada R,Holder CM,Counsell SR

    更新日期：2003-11-01 00:00:00

  • Determinants of functional status in healthy Italian nonagenarians and centenarians: a comprehensive functional assessment by the instruments of geriatric practice.

    abstract：OBJECTIVE:To evaluate the physical ability and psychocognitive status of a population more than 90 years of age with regard to sociodemographic, behavioral, and biomedical variables known to affect functional status in old age. DESIGN:A survey design was used. SETTING:Emilia Romagna, Northern Italy. PARTICIPANTS:Eig...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/j.1532-5415.1997.tb03769.x

    authors： Ravaglia G,Forti P,Maioli F,Boschi F,Cicognani A,Bernardi M,Pratelli L,Pizzoferrato A,Porcu S,Gasbarrini G

    更新日期：1997-10-01 00:00:00

  • Misdiagnosis of Chikungunya Virus Infection: Comparison of Old and Younger Adults.

    abstract：OBJECTIVES:To assess the frequency of diagnostic errors in older adults presenting to the emergency department (ED) with symptoms suggestive of Chikungunya virus infection (CVI) and to compare the rates of misdiagnosis of older and younger adults. DESIGN:Cross-sectional study performed in the University Hospitals of M...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/jgs.15492

    authors： Godaert L,Bartholet S,Gazeuse Y,Brouste Y,Najioullah F,Kanagaratnam L,Césaire R,Fanon JL,Dramé M

    更新日期：2018-09-01 00:00:00

  • Reductions in regional cerebral blood flow associated with chronic consumption of alcohol.

    abstract：:Neurotoxic effects of habitual alcohol consumption were investigated by correlating the subjects' estimates of abstinence or frequency and amount of alcohol consumed with measurements of gray matter blood flow utilizing the 133Xe inhalation method. Two hundred and twenty-two subjects were studied, including 136 health...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/j.1532-5415.1983.tb02198.x

    authors： Rogers RL,Meyer JS,Shaw TG,Mortel KF

    更新日期：1983-09-01 00:00:00

  • Doxorubicin (adriamycin) therapy of uterine sarcoma without surgery in an elderly patient.

    abstract：:A case is presented of primary endolymphatic stromal sarcoma of the uterus in a debilitated elderly patient. Surgical intervention was contraindicated. Radium therapy was unsuccessful. A 4-month course of treatment with doxorubicin (Adriamycin) resulted in disappearance of the tumor. The patient is living 19 months af...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/j.1532-5415.1976.tb03265.x

    authors： Adducci JE

    更新日期：1976-10-01 00:00:00

  • Methicillin-resistant Staphylococcus aureus in Minnesota nursing homes.

    abstract：OBJECTIVE:To assess the experience of Minnesota nursing homes with methicillin-resistant Staphylococcus aureus (MRSA) and the policies and procedures used for its control. DESIGN:A 12-question survey, with primarily categorical responses, was mailed to the Directors of Nursing of all Minnesota long-term-care facilitie...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/j.1532-5415.1991.tb02877.x

    authors： Thurn JR,Belongia EA,Crossley K

    更新日期：1991-11-01 00:00:00

  • Accuracy of nursing home medical record information about care-process delivery: implications for staff management and improvement.

    abstract：:Arguments have been made that the culture of nursing homes (NHs) must change to improve the quality of care, and two initiatives have been designed to accomplish this goal. One initiative is to provide resident outcome information (quality indicators) to NH management and consumers via public reporting systems. This i...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/j.1532-5415.2004.52372.x

    authors： Schnelle JF,Bates-Jensen BM,Chu L,Simmons SF

    更新日期：2004-08-01 00:00:00

  • Milk and dairy consumption and risk of dementia in an elderly Japanese population: the Hisayama Study.

    abstract：OBJECTIVES:To determine the effect of milk and dairy intake on the development of all-cause dementia and its subtypes in an elderly Japanese population. DESIGN:Prospective cohort study. SETTING:The Hisayama Study, Japan. PARTICIPANTS:Individuals aged 60 and older without dementia (N = 1,081). MEASUREMENTS:Milk and ...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/jgs.12887

    authors： Ozawa M,Ohara T,Ninomiya T,Hata J,Yoshida D,Mukai N,Nagata M,Uchida K,Shirota T,Kitazono T,Kiyohara Y

    更新日期：2014-07-01 00:00:00

  • The effects of childhood residence in Japan and testing language on cognitive performance in late life among Japanese American men in Hawaii.

    abstract：OBJECTIVES:To examine the association of years spent in Japan during childhood with cognitive test performance in late life among Japanese American men, and to assess the influence of the language used for testing on this association. DESIGN:A cross-sectional study. SETTING/PARTICIPANTS:A total of 3734 Japanese Ameri...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/j.1532-5415.2000.tb03912.x

    authors： Yano K,Grove JS,Masaki KH,White LR,Petrovitch H,Chen R,Teng EL,Ross GW,Rodriguez BL,Curb JD

    更新日期：2000-02-01 00:00:00

  • The relationship between insomnia and mortality among community-dwelling older women.

    abstract：OBJECTIVES:To investigate the relationship between insomnia and 6-year survival among older, community-dwelling, white women. DESIGN:Longitudinal study. SETTING:The sample was selected randomly from a 20-census tract area of Baltimore, Maryland. PARTICIPANTS:In 1984, 778 women aged 65 years and older participated in...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/j.1532-5415.1998.tb04544.x

    authors： Althuis MD,Fredman L,Langenberg PW,Magaziner J

    更新日期：1998-10-01 00:00:00

  • Secondary hyperparathyroidism in patients from Western Australia with hip fracture: relationship to type of hip fracture, renal function, and vitamin D deficiency.

    abstract：OBJECTIVES:To determine the frequency of vitamin D deficiency and secondary hyperparathyroidism in Australian hip fracture patients living in the community. PATIENTS:A total of 283 consecutive patients with hip fracture admitted over a 15-month period to a university teaching hospital in Western Australia. Included we...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/j.1532-5415.1999.tb03001.x

    authors： Bruce DG,St John A,Nicklason F,Goldswain PR

    更新日期：1999-03-01 00:00:00

  • Use of digoxin, diuretics, beta blockers, angiotensin-converting enzyme inhibitors, and calcium channel blockers in older patients in an academic hospital-based geriatrics practice.

    abstract：OBJECTIVE:To investigate the prevalence of and indications for digoxin use and the prevalence of beta blocker and calcium channel blocker use in older patients with previous myocardial infarction or coronary artery disease (CAD), and the prevalence of use of diuretics, beta blockers, angiotensin-converting enzyme (ACE)...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/j.1532-5415.1997.tb01506.x

    authors： Fishkind D,Paris BE,Aronow WS

    更新日期：1997-07-01 00:00:00

  • The Association Between Low-Density Lipoprotein Cholesterol and Incident Atherosclerotic Cardiovascular Disease in Older Adults: Results From the National Institutes of Health Pooled Cohorts.

    abstract：BACKGROUND/OBJECTIVES:Elevated low-density lipoprotein cholesterol (LDL-C) in early adulthood is associated with increased risk of atherosclerotic cardiovascular disease (ASCVD). The strength of the association between LDL-C and ASCVD among older adults, however, is less understood. DESIGN:We examined individual-level...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/jgs.16123

    authors： Nanna MG,Navar AM,Wojdyla D,Peterson ED

    更新日期：2019-12-01 00:00:00

  • Pneumonia versus aspiration pneumonitis in nursing home residents: diagnosis and management.

    abstract：OBJECTIVES:To determine the frequency of aspiration pneumonitis in nursing home residents with an initial diagnosis of pneumonia and to compare the clinical characteristics, management, and outcome of aspiration pneumonitis with those of pneumonia. DESIGN:Retrospective chart review. SETTING:Hospital geriatric unit fo...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1034/j.1601-5215.2002.51004.x

    authors： Mylotte JM,Goodnough S,Naughton BJ

    更新日期：2003-01-01 00:00:00

  • Delirium: masquerades and misdiagnosis in elderly inpatients.

    abstract：:Delirium is an organic mental disorder defined as transient, fluctuating global dysfunction of cognition. It is common in elderly medical inpatients, yet its varied presentation is often missed or misdiagnosed. ...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/j.1532-5415.1990.tb01505.x

    authors： Lyness JM

    更新日期：1990-11-01 00:00:00

  • Epidemic keratoconjunctivitis in a chronic care facility: risk factors and measures for control.

    abstract：OBJECTIVE:To study patterns of transmission of epidemic keratoconjunctivitis (EKC) in a chronic care facility and to assess control measures and prevent future outbreaks in this setting. DESIGN:A retrospective cohort study. SETTING:A 120-bed, four-unit, skilled nursing facility. PATIENTS:Residents and employees of t...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/j.1532-5415.1993.tb07299.x

    authors： Buffington J,Chapman LE,Stobierski MG,Hierholzer JC,Gary HE Jr,Guskey LE,Breitenbach RA,Hall WN,Schonberger LB

    更新日期：1993-11-01 00:00:00

  • Outcomes of Treated Hypertension at Age 80 and Older: Cohort Analysis of 79,376 Individuals.

    abstract：OBJECTIVES:To estimate outcomes according to attained blood pressure (BP) in the oldest adults treated for hypertension in routine family practice. DESIGN:Cohort analysis of primary care inpatient and death certificate data for individuals with hypertension. SETTING:Primary care practices in England (Clinical Practic...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/jgs.14712

    authors： Delgado J,Masoli JAH,Bowman K,Strain WD,Kuchel GA,Walters K,Lafortune L,Brayne C,Melzer D,Ble A,As part of the Ageing Well Programme of the NIHR School for Public Health Research, England.

    更新日期：2017-05-01 00:00:00

  • Differences in the treatment of patients with acute myocardial infarction according to patient age.

    abstract：OBJECTIVE:To identify age-related differences in the treatment of patients with acute myocardial infarction. DESIGN:Retrospective cohort study. SETTING:Two university-affiliated medical centers with integrated clinical programs. PATIENTS:329 patients admitted with acute myocardial infarction in 1988-1990 for whom co...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章,多中心研究

    doi：10.1111/j.1532-5415.1994.tb06553.x

    authors： Rosenthal GE,Fortinsky RH

    更新日期：1994-08-01 00:00:00

  • Normative values of cognitive and physical function in older adults: findings from the Irish Longitudinal Study on Ageing.

    abstract：OBJECTIVES:To provide normative values of tests of cognitive and physical function based on a large sample representative of the population of Ireland aged 50 and older. DESIGN:Data were used from the first wave of The Irish Longitudinal Study on Ageing (TILDA), a prospective cohort study that includes a comprehensive...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/jgs.12195

    authors： Kenny RA,Coen RF,Frewen J,Donoghue OA,Cronin H,Savva GM

    更新日期：2013-05-01 00:00:00

  • Educational interventions to improve recognition of delirium: a systematic review.

    abstract：:Delirium is a common and serious condition that is underrecognized in older adults in a variety of healthcare settings. It is poorly recognized because of deficiencies in provider knowledge and its atypical presentation. Early recognition of delirium is warranted to better manage the disease and prevent the adverse ou...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章,评审

    doi：10.1111/jgs.12522

    authors： Yanamadala M,Wieland D,Heflin MT

    更新日期：2013-11-01 00:00:00