Crouse Health Online: Wellness is just a click away.
Share Share
  |  Connect with Us: 
large
med
small
Text Size
 

Health News



Mentally Ill in Nursing Homes Often Lack Advance Care Plans

Mentally Ill in Nursing Homes Often Lack Advance Care Plans

01/06/11

THURSDAY, Jan. 6 (HealthDay News) -- Nursing home residents with serious mental illnesses are less likely to have advance care directives than those with no mental illness, researchers have found.

An advance care directive enables people to make informed decisions about their future treatment or identify a person who will make health care decisions for them if they become too ill to do so.

U.S. researchers looked at four types of advance care plans among 13,500 residents in 1,174 nursing homes: living wills; do-not-resuscitate orders; do-not-hospitalize orders; and restrictions on feeding tubes, medications or other treatments.

The study found that 68 percent of residents with no mental illness had at least one of the four types of advance care plans, compared to 57 percent of residents with a serious mental illness such as bipolar disorder or a psychotic disorder such as schizophrenia.

The study authors noted that mentally ill people in nursing homes are among the most important groups of patients with whom health providers should work to create advance directives.

"Our findings reflect disparities in medical decision-making caused by such factors as provider bias rather than actual differences in expressed care preferences," wrote the study authors, Dr. Peter Cram, Xueya Cai and Yue Li, who are affiliated with the University of Iowa and with Iowa City Veterans Affairs Medical Center.

The researchers also noted that nursing home care typically focuses on managing chronic medical conditions and functional disabilities. Staff members may not have been trained in mental health issues, they added.

The study is published in the January issue of the journal Psychiatric Services.

More information

The American Academy of Family Physicians has more about advance directives.

Copyright © 2011 HealthDay. All rights reserved.

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.

OF INTEREST:
 

Latest News

Crouse Hospital Appoints Chief Information Officer
more >

MedEx Bedside Prescription Delivery Service

Free service offers convenience, patient education at discharge.
more >

CrouseSports Express After-Hours Ortho Care

Immediate care of orthopedic injuries in kids and adults.
more >

Weight Loss Surgery

Is it right for you? Attend a free information seminar held twice monthly.
more >

Quality at Crouse

See how Crouse Hospital strives to provide the best in patient care.
more >

Cheer Up That Special Someone

Say get well or welcome a new arrival with a gift purchased right at Crouse.

more >

Make an Online Donation Now

Your donation of any amount helps support Crouse services & programs in a meaningful way.
more >

Shop Online Now

Say get well, thinking of you or welcome new baby with a unique gift from the Crouse Gift Shop.

more >