Advance directives in nursing home residents aged > or =65 years: United States 2004.
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.
Institute for the Future of Aging Services, American Association of Homes and Services for the Aging, Department of Medicine, Georgetown University, 2519 Connecticut Avenue NW, Washington, DC 20008, USA. hresnick@aahsa.org
Helaine E
HE
Resnick
Jeremiah D
JD
Schuur
Janice
J
Heineman
Robyn
R
Stone
Joel S
JS
Weissman
D032722:Advance Care Planning / Q000706:statistics & numerical data*; D000368:Aged; D000369:Aged, 80 and over; D032962:Consent Forms / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D004282:Documentation / Q000706:statistics & numerical data; D005260:Female; D019538:Health Care Surveys; D006276:Health Facility Size / Q000706:statistics & numerical data; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008020:Life Support Care / Q000706:statistics & numerical data; D016015:Logistic Models; D008297:Male; D015999:Multivariate Analysis; D009735:Nursing Homes / Q000706:statistics & numerical data*; D010067:Ownership / Q000706:statistics & numerical data; D026684:Personal Autonomy; D016414:Resuscitation Orders; D013727:Terminal Care / Q000706:statistics & numerical data*; D014481:United States