Navigation Links
Mentally Ill in Nursing Homes Often Lack Advance Care Plans

THURSDAY, Jan. 6 (HealthDay News) -- Nursing home residents with serious mental illnesses are less likely to have advance care directives than those with no mental illness, researchers have found.

An advance care directive enables people to make informed decisions about their future treatment or identify a person who will make health care decisions for them if they become too ill to do so.

U.S. researchers looked at four types of advance care plans among 13,500 residents in 1,174 nursing homes: living wills; do-not-resuscitate orders; do-not-hospitalize orders; and restrictions on feeding tubes, medications or other treatments.

The study found that 68 percent of residents with no mental illness had at least one of the four types of advance care plans, compared to 57 percent of residents with a serious mental illness such as bipolar disorder or a psychotic disorder such as schizophrenia.

The study authors noted that mentally ill people in nursing homes are among the most important groups of patients with whom health providers should work to create advance directives.

"Our findings reflect disparities in medical decision-making caused by such factors as provider bias rather than actual differences in expressed care preferences," wrote the study authors, Dr. Peter Cram, Xueya Cai and Yue Li, who are affiliated with the University of Iowa and with Iowa City Veterans Affairs Medical Center.

The researchers also noted that nursing home care typically focuses on managing chronic medical conditions and functional disabilities. Staff members may not have been trained in mental health issues, they added.

The study is published in the January issue of the journal Psychiatric Services.

More information

The American Academy of Family Physicians has more about advance directives.

-- Robert Preidt

SOURCE: American Psychiatric Association, news release, Jan. 4, 2011

Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Green And Greener Survey Shows Hospitals Embrace Environmentally Sustainable Practices, Though Room for Improvement Remains
2. What Causes A Person To Be Mentally Ill? Author Who Has Spent Decades Researching Topic Says He Has the Answer
3. A Monumentally Important Victory for Our Country
4. Hospice care increasing for nursing home patients with dementia
5. Northwestern Memorial maintains top status in nursing hospital renewed for Nurse Magnet®
6. MRSA carriage rates vary widely in nursing homes, study finds
7. ACPs response to the IOMs report the future of nursing: Leading change, advancing health
8. Elsevier/MC Strategies and AORN launch perioperative nursing skills collection
9. National committee releases findings on transforming and improving the nursing profession
10. UofL School of Nursing awarded grant to fund new informatics education project
11. $1 million awarded to Bloomberg Faculty of Nursing-led research team
Post Your Comments:
Related Image:
Mentally Ill in Nursing Homes Often Lack Advance Care Plans
(Date:6/25/2016)... ... June 25, 2016 , ... Conventional wisdom preaches the ... In terms of the latter, setting the bar too high can result in disappointment, ... just slow progress toward their goal. , Research from reveals ...
(Date:6/24/2016)... Michigan (PRWEB) , ... June 24, 2016 , ... June ... about the dangers associated with chronic pain and the benefits of holistic treatments, ... individuals who are suffering with Sickle Cell Disease. , Sickle Cell Disease (SCD) is ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... Global law ... magazine’s 2016 Legal Elite. The attorneys chosen by their peers for this recognition are ... , Seven Greenberg Traurig Shareholders received special honors as members of this year’s Legal ...
(Date:6/24/2016)... ... June 24, 2016 , ... Topical BioMedics, Inc, makers of Topricin and MyPainAway Pain ... for a minimum wage raise to $12 an hour by 2020 and then adjusting it ... the lost value of the minimum wage, assure the wage floor does not erode again, ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... ... Living, is proud to recognize Dr. Barry M. Weintraub as a prominent plastic ... most beautiful women in the world, and the most handsome men, look naturally ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... Any dentist who has made an implant supported ... Many of them do not even offer this as a ... laboratory costs involved. And those who ARE able to offer ... high cost that the majority of today,s patients would not ... Zadeh , founder of Dental Evolutions Inc. and inventor of ...
(Date:6/23/2016)... ANGELES , June 23, 2016 ... CAPR ), a biotechnology company focused ... therapeutics, today announced that patient enrollment in its ... in Duchenne) has exceeded 50% of its 24-patient ... enrollment in the third quarter of 2016, and ...
(Date:6/23/2016)... NORTHBROOK, Ill. and BOGOTA, Colombia , June 23, 2016  Astellas today announced the ... joins Astellas Farma Brasil as the company,s second affiliate in Latin America . ... ... appointed General Manager of Astellas Farma Colombia ... ...
Breaking Medicine Technology: