Context Talking about death can be difficult. Without evidence that end-of-life discussions
improve patient outcomes, physicians must balance their desire to honor patient autonomy …

Background Dementia is a leading cause of death in the United States but is underrecognized
as a terminal illness. The clinical course of nursing home residents with advanced …

… A targeted neurological examination was performed by a trained geriatrician (SL Mitchell).
Testing included assessment of sensory and motor function, vision (Snellen score), cognitive …

Objective: To test the hypothesis that quantitative measures of gait unsteadiness are increased
in community-dwelling elderly fallers. Study Design: Retrospective, case-control study. …

Background Nursing homes are important providers of end-of-life care to persons with
advanced dementia. Methods We used data from the Minimum Data Set (June 1, 1994, to …

Objectives: To describe where older Americans with dementia die and to compare the state
health system factors related to the location of dementia‐related deaths with those of cancer …

Background Health care transitions in the last months of life can be burdensome and potentially
of limited clinical benefit for patients with advanced cognitive and functional impairment. …

Background: The provision of artificial enteral nutrition to an aged person with severe cognitive
impairment is a complex dilemma in the long-term care setting. Objective: To determine …

Objectives. We studied a representative cohort of community-dwelling elderly persons to (i)
examine the relationship between the loss of specific functional activities and cognitive status …

Context Empiric data and expert opinion suggest that use of feeding tubes is not beneficial
for older persons with advanced dementia. Previous research has shown a 10-fold variation …