- To determine life-sustaining treatment preferences among nursing home residents, whether information regarding cardiopulmonary resuscitation (CPR) affected these preferences, and with whom treatment preferences had been discussed, and to identify factors associated with CPR preferences.
- Four hundred twenty-one randomly selected nursing home residents capable of making decisions.
- Preferences regarding CPR, hospitalization, and enteral tube feedings, and individual factors associated with CPR preferences.
- Of 1458 randomly selected nursing home residents assessed for the ability to participate in the study, 552 residents (38%) were eligible to participate and 421 agreed to be interviewed.
Sixty percent of participants able to participate in the decision reported that they would elect CPR, 89% would choose hospitalization if seriously ill, and 33% would elect enteral tube feedings if no longer able to eat because of permanent brain damage.
Individual factors associated with preferences for CPR included the following : African-American ethnicity, high self-reported physical mobility, belief that most important medical care decisions should be made by the doctor, moderate-to-severe impairment in daily decision-making skills, and not having a spouse.
- More than half of nursing home residents capable of making decisions preferred the use of CPR.
Few had discussed their preferences with health care providers.
Mots-clés Pascal : Résident, Clinique, Réanimation cardiocirculatoire, Hospitalisation, Enquête opinion, Choix, Pennsylvanie, Etats Unis, Amérique du Nord, Amérique, Soin palliatif, Homme, Vieillard
Mots-clés Pascal anglais : Resident, Clinic, Intensive cardiocirculatory care, Hospitalization, Opinion inquiry, Choice, Pennsylvania, United States, North America, America, Palliative care, Human, Elderly
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0048681
Code Inist : 002B27C. Création : 01/03/1996.