@article{
 title = {Outcomes of feeding problems in advanced dementia in a nursing home population},
 type = {article},
 year = {2013},
 identifiers = {[object Object]},
 keywords = {dementia,nursing home,nutrition},
 pages = {1692-1697},
 volume = {61},
 month = {10},
 publisher = {The American Geriatrics Society},
 city = {Division of Geriatric Medicine, University of North Carolina, Chapel Hill, North Carolina; Center for Aging and Health, University of North Carolina, Chapel Hill, North Carolina; Cecil G. Sheps Center for Health Services Research, University of North Caro},
 id = {ddec439f-d8f7-3ad6-b928-cd0468cbe949},
 created = {2016-08-20T16:52:03.000Z},
 file_attached = {false},
 profile_id = {217ced55-4c79-38dc-838b-4b5ea8df5597},
 group_id = {408d37d9-5f1b-3398-a9f5-5c1a487116d4},
 last_modified = {2017-03-14T09:54:45.334Z},
 read = {false},
 starred = {false},
 authored = {false},
 confirmed = {true},
 hidden = {false},
 source_type = {JOUR},
 notes = {ID: 67406; CI: (c) 2013, Copyright the Authors Journal compilation (c) 2013; JID: 7503062; OTO: NOTNLM; 2013/09/19 [aheadofprint]; ppublish},
 folder_uuids = {911ed6ae-9b6c-4b26-b2c0-eb5c080b23de},
 private_publication = {false},
 abstract = {OBJECTIVES: To describe quality of care for feeding problems in advanced dementia and probability and predictors of weight loss and mortality. DESIGN: Prospective cohort. SETTING: Twenty-four nursing homes (NHs). PARTICIPANTS: Nursing home residents with advanced dementia and feeding problems and family surrogates (N = 256). MEASUREMENTS: Family reported on quality of feeding care at enrollment and 3 months. Chart reviews at enrollment and 3, 6, and 9 months provided data on feeding problems, treatments, weight loss of more than 5% in 30 days or more than 10% in 6 months, and mortality. Organizational variables were obtained from administrator surveys and publically reported data. RESULTS: Residents with advanced dementia and feeding problems had an average age of 85; 80% had chewing and swallowing problems, 11% weight loss, and 48% poor intake. Family reported feeding assistance of moderate quality; 23% felt the resident received less assistance than needed. Mortality risk was significant; 8% died within 3 months, 17% within 6 months, and 27% within 9 months. Residents with advanced dementia who had stable weight over 3 months had a 5.4% rate of significant weight loss and a 2.1% risk of death over the next 3 months. Residents with advanced dementia and weight loss over 3 months had a 38.9% chance of stabilizing weight over the next 3 months but also had a 19.2% chance of dying. Weight loss was the only independent predictor of death. CONCLUSION: Weight loss is a predictor of death in advanced dementia. Treatments can often stabilize weight, but weight loss should be used to trigger discussion of goals of care and treatment options.},
 bibtype = {article},
 author = {Hanson, L C and Ersek, M and Lin, F C and Carey, T S},
 journal = {Journal of the American Geriatrics Society},
 number = {10}
}

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MEASUREMENTS: Family reported on quality of feeding care at enrollment and 3 months. Chart reviews at enrollment and 3, 6, and 9 months provided data on feeding problems, treatments, weight loss of more than 5% in 30 days or more than 10% in 6 months, and mortality. Organizational variables were obtained from administrator surveys and publically reported data. RESULTS: Residents with advanced dementia and feeding problems had an average age of 85; 80% had chewing and swallowing problems, 11% weight loss, and 48% poor intake. Family reported feeding assistance of moderate quality; 23% felt the resident received less assistance than needed. Mortality risk was significant; 8% died within 3 months, 17% within 6 months, and 27% within 9 months. Residents with advanced dementia who had stable weight over 3 months had a 5.4% rate of significant weight loss and a 2.1% risk of death over the next 3 months. Residents with advanced dementia and weight loss over 3 months had a 38.9% chance of stabilizing weight over the next 3 months but also had a 19.2% chance of dying. Weight loss was the only independent predictor of death. CONCLUSION: Weight loss is a predictor of death in advanced dementia. Treatments can often stabilize weight, but weight loss should be used to trigger discussion of goals of care and treatment options.","bibtype":"article","author":"Hanson, L C and Ersek, M and Lin, F C and Carey, T S","journal":"Journal of the American Geriatrics Society","number":"10","bibtex":"@article{\n title = {Outcomes of feeding problems in advanced dementia in a nursing home population},\n type = {article},\n year = {2013},\n identifiers = {[object Object]},\n keywords = {dementia,nursing home,nutrition},\n pages = {1692-1697},\n volume = {61},\n month = {10},\n publisher = {The American Geriatrics Society},\n city = {Division of Geriatric Medicine, University of North Carolina, Chapel Hill, North Carolina; Center for Aging and Health, University of North Carolina, Chapel Hill, North Carolina; Cecil G. Sheps Center for Health Services Research, University of North Caro},\n id = {ddec439f-d8f7-3ad6-b928-cd0468cbe949},\n created = {2016-08-20T16:52:03.000Z},\n file_attached = {false},\n profile_id = {217ced55-4c79-38dc-838b-4b5ea8df5597},\n group_id = {408d37d9-5f1b-3398-a9f5-5c1a487116d4},\n last_modified = {2017-03-14T09:54:45.334Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n source_type = {JOUR},\n notes = {ID: 67406; CI: (c) 2013, Copyright the Authors Journal compilation (c) 2013; JID: 7503062; OTO: NOTNLM; 2013/09/19 [aheadofprint]; ppublish},\n folder_uuids = {911ed6ae-9b6c-4b26-b2c0-eb5c080b23de},\n private_publication = {false},\n abstract = {OBJECTIVES: To describe quality of care for feeding problems in advanced dementia and probability and predictors of weight loss and mortality. DESIGN: Prospective cohort. SETTING: Twenty-four nursing homes (NHs). PARTICIPANTS: Nursing home residents with advanced dementia and feeding problems and family surrogates (N = 256). MEASUREMENTS: Family reported on quality of feeding care at enrollment and 3 months. Chart reviews at enrollment and 3, 6, and 9 months provided data on feeding problems, treatments, weight loss of more than 5% in 30 days or more than 10% in 6 months, and mortality. Organizational variables were obtained from administrator surveys and publically reported data. RESULTS: Residents with advanced dementia and feeding problems had an average age of 85; 80% had chewing and swallowing problems, 11% weight loss, and 48% poor intake. Family reported feeding assistance of moderate quality; 23% felt the resident received less assistance than needed. Mortality risk was significant; 8% died within 3 months, 17% within 6 months, and 27% within 9 months. Residents with advanced dementia who had stable weight over 3 months had a 5.4% rate of significant weight loss and a 2.1% risk of death over the next 3 months. Residents with advanced dementia and weight loss over 3 months had a 38.9% chance of stabilizing weight over the next 3 months but also had a 19.2% chance of dying. Weight loss was the only independent predictor of death. CONCLUSION: Weight loss is a predictor of death in advanced dementia. Treatments can often stabilize weight, but weight loss should be used to trigger discussion of goals of care and treatment options.},\n bibtype = {article},\n author = {Hanson, L C and Ersek, M and Lin, F C and Carey, T S},\n journal = {Journal of the American Geriatrics Society},\n number = {10}\n}","author_short":["Hanson, L., C.","Ersek, M.","Lin, F., C.","Carey, T., S."],"bibbaseid":"hanson-ersek-lin-carey-outcomesoffeedingproblemsinadvanceddementiainanursinghomepopulation-2013","role":"author","urls":{},"keyword":["dementia","nursing home","nutrition"],"downloads":0},"search_terms":["outcomes","feeding","problems","advanced","dementia","nursing","home","population","hanson","ersek","lin","carey"],"keywords":["dementia","nursing home","nutrition"],"authorIDs":[]}