Institutional Subscriptions   Individual Subscriptions 
Editors/Authors   Librarians   Newsletter   Site Tour   A-Z Index   About   Contact Us   Help 
Log In | Log In via Athens
 
Disable Autosuggest
Care at the Close of Life: Evidence and Experience
Stephen J. McPhee, Margaret A. Winker, Michael W. Rabow, Steven Z. Pantilat, Amy J. Markowitz
Part C Disease Management
Chapter 12. Alzheimer Disease: “It’s OK, Mama, If You Want to Go, It’s OK”
Ann C. Hurley, RN, DNSc, Ladislav Volicer, MD, PhD
Community Care


Topics Discussed: alzheimer disease

Excerpt: "In the United States, more than 70% of patients with AD live at home1 and receive community-based care. Counseling and support programs for spouse caregivers can delay nursing home placement for elders with AD.25 An intervention of 6 sessions of family counseling, including joining a support group, and having access to counselors resulted in almost 1 additional year in the community before nursing home placement.26 Using 9 years of data from this on-going clinical trial, the difference in median time to placement was 557 days for intervention group care recipients. Intervention group care recipients also reported greater satisfaction with social support, better-quality responses to behavioral problems, and fewer depressive symptoms.27 When frail older patients cared for by physicians via home visits selected their preference for a specific place of death, plans were successful in 91%28; however, we could identify no similar studies for patients with AD. Providing physician care via home visits may improve end-of-life care for older persons.28,29..."
Log in to read the full chapter:
Subscriber Log In
Username:
Password:
Forgot your username/password?
Or  
Get full access to JAMAevidence two ways:
Subscribe to JAMAevidence
JAMAevidence is a subscription-
based website dedicated to the learning, teaching, and practicing of evidence-based medicine.
Pay Per View
Timed access to all of JAMAevidence
24 hours for $34.95
48 hours for $54.95
Copyright © American Medical Association. All rights reserved.  |  JAMA  |  McGraw-Hill Global Education Holdings, LLC.
Privacy Notice. Any use is subject to the Terms of Use and Notice. Additional Credits and Copyright Information.
Your IP address is 54.166.8.138