End-of-Life

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November 22, 2016
My residency in family medicine at McLaren-Flint Family Practice introduced me to geriatrics and planted the seed of interest in the sub-specialty. I was exposed to a two-month geriatrics block that included post-acute and long-term care management...
September 28, 2016
In recent years, Physicians’ Orders for Life Sustaining Treatments (POLST) forms have been seen as an important way to honor the end-of-life wishes of frail elderly or terminally ill patients who cannot speak for themselves. But while the goal of...
Resolution and Position Statements
Resolution J-16 THEREFORE BE IT RESOLVED , that AMDA-The Society for Post-Acute and Long-Term Care Medicine create a White Paper to address policies around the provision of Cardiopulmonary Resuscitation (CPR) in nursing homes and education...
March 6, 2016
AMDA Board Member Kevin O'Neil, MD, CMD, talks about the top three clinical areas AMDA has identified on which assisted living providers need to focus.
February 22, 2016
AMDA Board of Directors member Karl Steinberg, MD, CMD, authors a blog on a new Dartmouth Atlas Project, "Our Parents, Ourselves," which discusses the aging population and its health concerns across the U.S., especially around end-of-life care. He...
Resolution and Position Statements
American Geriatrics Society American Academy of Hospice and Palliative Medicine American Medical Directors Association National Hospice and Palliative Care Organization Background At least one in four Americans dies in a nursing home, and...
White Paper
White Paper C08, Becomes Policy March 2008 Background Trends in End-of-Life Care in Nursing Homes Increasing numbers of Americans spend their last days in long term care, with a rise expected from 25% in 1998 to 40% by 2020. 1 For those...
White Paper
1. Introduction Many residents of nursing facilities and other long-term care settings are cognitively impaired and thus may be incapable of making decisions about their medical care. Clinicians providing care for these residents must rely...
February 19, 2015
End-of-life care for nursing home residents has long been associated with poor symptom control and low family satisfaction. With more than one in four older Americans dying in a nursing home—including 70 percent of Americans with advanced dementia—...
March 31, 2015
As a psychologist observing the effects of medical interventions on the mental health of the long-term care resident, I often ask, “Is this aggressive procedure helping?”