Tube feeding preferences among nursing home residents

Journal of General Internal Medicine
L A O'BrienK P Krotki

Abstract

To determine the preferences of nursing home residents regarding the use of tube feedings and to characterize the clinical, functional, and psychosocial factors that are associated with preferences. In-person survey. Forty-nine randomly selected nursing homes. Three hundred seventy-nine randomly selected, decisionally capable, nursing home residents. Thirty-three percent of participants would prefer tube feedings if no longer able to eat because of permanent brain damage. Factors positively associated with preferences for tube feedings include male gender. African-American race, never having discussed treatment preferences with family members or health care providers, never having signed an advance directive, and believing that tube feeding preferences will be respected by the nursing home staff. Twenty-five percent of the participants changed from preferring tube feedings to not preferring tube feedings on learning that physical restraints are sometimes applied during the tube feeding process. Demographic and social factors are associated with preferences for tube feedings. The provision of information about the potential use of physical restraint altered a proportion of nursing home residents' treatment preferences.

References

Jan 1, 1992·International Journal of Psychiatry in Medicine·H G KoenigR Westlund
Jan 1, 1992·Archives of Internal Medicine·P A Singer, M Siegler
Jan 1, 1992·Missouri Medicine·D G Sessions
Jun 1, 1991·The Gerontologist·C MichelsonE Olson
Mar 28, 1991·The New England Journal of Medicine·M DanisD L Patrick
Mar 28, 1991·The New England Journal of Medicine·L L EmanuelE J Emanuel
Jul 15, 1991·Annals of Internal Medicine·A B SecklerB E Paris
May 2, 1990·JAMA : the Journal of the American Medical Association·D Orentlicher
Jun 1, 1989·Archives of Internal Medicine·J G OuslanderB Rahbar
Jan 1, 1989·The American Journal of Hospice Care·M R Andrews, A M Levine
Jul 1, 1988·Journal of General Internal Medicine·T E FinucaneR M D'Alessandri
Dec 13, 1995·JAMA : the Journal of the American Medical Association·L A O'BrienL K Evans
Sep 13, 1995·JAMA : the Journal of the American Medical Association·L J BlackhallS Azen
Aug 1, 1993·The American Journal of Medicine·D D TreschT P Aufderheide
Jul 1, 1993·Journal of General Internal Medicine·J M GarrettM Danis
Apr 1, 1993·Journal of General Internal Medicine·R J Sullivan
Sep 1, 1996·Statistical Methods in Medical Research·L M LaVangeB V Shah
Jun 1, 1989·The American Journal of Medicine·David FranklPaul E Bellamy

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Citations

Feb 11, 2010·JAMA : the Journal of the American Medical Association·Joan M TenoVincent Mor
Jun 19, 2003·Journal of the American Medical Directors Association·V W DeLaGarzaR G Bennett
Jun 17, 2003·Journal of the American Medical Directors Association·Daniel SwagertyJacob Dimant
Feb 24, 2001·Journal of the American Geriatrics Society·J C AhronheimB E Fries
May 25, 2002·Journal of the American Geriatrics Society·Eric L KrakauerKen Fox
Apr 12, 2002·Journal of the American Geriatrics Society·Carol E SiegerJudith C Ahronheim
Jan 20, 2000·The New England Journal of Medicine·M R Gillick
Feb 24, 2005·Aging & Mental Health·A M FairrowB J Messinger-Rapport
Jul 5, 2005·Journal of Palliative Medicine·Jennifer KapoDavid Casarett
Jul 30, 2005·Journal of General Internal Medicine·William H ShrankMarjorie Kagawa-Singer
Dec 10, 2003·Journal of Medical Ethics·S FrileuxP C Sorum
Jan 20, 2006·Journal of the American Geriatrics Society·Sonia A DuffyKaren E Fowler
May 5, 2011·Journal of the American Geriatrics Society·Joan M TenoVincent Mor
Aug 10, 2000·Medical Decision Making : an International Journal of the Society for Medical Decision Making·W D SmuckerK M Coppola
Dec 29, 2000·Journal of the American Geriatrics Society·C E GessertB Frey
Jul 21, 2006·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Jennifer L Troyer, William J McAuley
Mar 24, 2005·The American Journal of Gastroenterology·Larry D Scott
Jun 27, 2006·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·A Mark ClarfieldBrian Gore

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