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:11/26/2015)... , ... November 26, 2015 , ... ... set of retro-fused, self-animating trailer titles with ProTrailer: Vintage. This newly styled ProTrailer ... classically-influenced trailer titles work with any font, giving users limitless opportunities to stylize ...
(Date:11/26/2015)... ... November 26, 2015 , ... Indosoft Inc., developer and distributor of the world-class ... improve system efficiency and reliability. , The new Q-Suite 6 platform is based on ... avoids locking itself into a specific piece of software for many key components of ...
(Date:11/25/2015)... ... November 25, 2015 , ... ... Water For Empowerment ™ attracts volunteers together who want to combine talents ... women as key stakeholders in the process. The non-profit launched its first major ...
(Date:11/25/2015)... MN (PRWEB) , ... November 25, 2015 , ... Finnleo, ... through Christmas Eve on several models of traditional and far-infrared saunas. , ... Nordic Spruce is the most traditional Finnish sauna wood, and Finnleo uses only European ...
(Date:11/25/2015)... ... November 25, 2015 , ... TyloHelo Inc , ... accessories. , Sauna accessories help improve the bather experience in the sauna, and ... styles for the purist looking for simplicity in design to accessories that encourage ...
Breaking Medicine News(10 mins):
(Date:11/25/2015)... AAIPharma Services Corp./Cambridge Major Laboratories, Inc. ... $15.8  Million to expand its laboratories and global ... The expansion will provide additional office space and ... of the pharmaceutical and biotechnology markets. ... up to 40,000 square feet of expanded development ...
(Date:11/25/2015)... MINNEAPOLIS , Nov. 25, 2015  ARKRAY ... care products, continues to provide evidence demonstrating the accuracy ... the World Congress on Insulin Resistance, Diabetes and Cardiovascular ... showed that both the Company,s GLUCOCARD ® 01 ... met high accuracy requirements. The ability to accurately measure ...
(Date:11/25/2015)... 2015 Kitov Pharma ceuticals ... a biopharmaceutical company focused on the development of therapeutic ... today announced the closing of its previously announced underwritten ... ), each representing 20 ordinary shares of the Company, ... ADSs and warrants were issued in a fixed combination ...
Breaking Medicine Technology: