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Identification of the trajectory of functional decline for advance care planning in a nursing home population

Lawrence, S ORCID: 0000-0002-0662-1946, Robinson, A and Eagar, K 2017 , 'Identification of the trajectory of functional decline for advance care planning in a nursing home population' , Australasian Journal on Ageing, vol. 36, no. 3 , E14-E20 , doi: 10.1111/ajag.12454.

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Abstract

Objective:To identify diagnostic groups and the form of the trajectory of functional decline that has the potential to enhance advance care planning (ACP) in a nursing home (NH) population.Methods:Retrospective, longitudinal study with dependent variable (function) derived from the Resident Classification Scale (RCS), 1997-2008. Trajectory modelling used linear and curvilinear terms.Results:The organ failure or other residents have a linear average functional decline. The organ failure residents had an average decline of 6.5 points per year and average function score at death of 68.6, CI [62.4, 74.8]. The cancer and frailty residents had significant curvilinear terms. The frailty residents had a slower rate of decline at 9.54 points per year and were most care dependent at death, with an average function score of 77.1, CI [73.8, 80.9].Conclusion:Functional change is a measurable variable for a predictive tool to enhance ACP for NH residents based on their diagnosis.

Item Type: Article
Authors/Creators:Lawrence, S and Robinson, A and Eagar, K
Keywords: advance care planning, cause of death, end-of-life care, longitudinal studies, nursing homes
Journal or Publication Title: Australasian Journal on Ageing
Publisher: Wiley-Blackwell Publishing Asia
ISSN: 1440-6381
DOI / ID Number: 10.1111/ajag.12454
Copyright Information:

© 2017 AJA Inc.

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