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


Lawrence, S and Robinson, A and Eagar, K, Identification of the trajectory of functional decline for advance care planning in a nursing home population, Australasian Journal on Ageing, 36, (3) pp. E14-E20. ISSN 1440-6381 (2017) [Refereed Article]

Copyright Statement

2017 AJA Inc.

DOI: doi:10.1111/ajag.12454


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 Details

Item Type:Refereed Article
Keywords:advance care planning, cause of death, end-of-life care, longitudinal studies, nursing homes
Research Division:Health Sciences
Research Group:Nursing
Research Field:Aged care nursing
Objective Division:Health
Objective Group:Specific population health (excl. Indigenous health)
Objective Field:Health related to ageing
UTAS Author:Lawrence, S (Dr Suanne Lawrence)
UTAS Author:Robinson, A (Professor Andrew Robinson)
ID Code:124603
Year Published:2017
Web of Science® Times Cited:1
Deposited By:Health Sciences
Deposited On:2018-02-28
Last Modified:2018-09-13

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