C E Gessert

..We investigated the use of feeding tubes in very severely cognitively impaired nursing-home residents, and examined the findings in light of previous studies on the role of ethnicity in end-of-life decision making...

..These differences cannot be fully explained by rural-urban differences in access to medical services...

..To identify factors associated with the use of selected medical services near the end of life in cognitively impaired residents of rural and urban nursing homes...

..A strong correlation between ratings for importance and ability to influence was observed. Additional research is needed on the psychosocial aspects of long-term care residents' QoL, especially those with cognitive impairment...

..Assessment of severity is essential in the clinical care of rosacea patients and in the research on rosacea...

..Factors associated with high end-of-life Medicare charges include less advanced age, non-white race, absence of advance directive, and urban residence...

..Health professionals should take the lead in 'normalizing' the discussion of death...

..To compare how causes of death are recorded on the death certificates of centenarians with those who die in their 70s, 80s, and 90s. We also examined direct and indirect acknowledgment of age as a cause of death...

..Qualitative research may be useful in clarifying the roles of each of these factors...

..Efforts to moderate intensive end-of-life care may be facilitated by early identification of those at greatest risk for receiving such care...

..In such cases, the elder's previously stated wishes regarding end of life care were not as likely to be honored...

..Traditionally, family members become decision-makers for ageing parents with cognitive impairment. Our understanding of how families negotiate the ethical issues in this decision-making is still developing...

..There are no standardized measures for the severity of rosacea...

..Little is known about how individuals with a predisposition for rosacea appear in childhood. This retrospective, matched control, longitudinal study examined the relationship between childhood stye and adult rosacea...

..Massage is an accessible, easily learned intervention that is effective in controlling some types of agitation in elders with cognitive impairment. Massage should be studied further as a nonpharmacological intervention in such patients...

..The study of interventions designed to reduce suffering at the end of life requires careful attention to the definition and measurement of suffering, study design, and subject selection...

..Many decision makers caring for their relatives with advanced cognitive impairment invoke their spirituality to guide relationships and decisions, creating meaning in the process...

..This study was a prospective, in-depth exploration of the experience of dying in two nursing homes from the perspective of residents, staff, and family members...

..To improve understanding of nursing home physicians' perspectives regarding end-of-life care, and to suggest directions for further research...

..This research will lay the groundwork for two future studies: a survey of values in end-of-life decision-making, and an in depth examination of the role of selected values in decision-making. ..