In this longitudinal f/u of 323 nursing home residents with advanced dementia, over half had died by 18 months. Most suffered complications within the 18 month f/u, including eating problems (86%), fever (53%), and pneumonia (41%), and 41% of them underwent some intervention in the last 3 months of life (ED visit, hospitalization, IV therapy, or tube feeds). Those that had health care proxies that understood their prognosis were much less likely to undergo these interventions. This study highlights the grim prognosis, and high prevalence of complications and interventions, in nursing home patients with advanced dementia (abstract)
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