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The Gerontologist 1991 31(3):358-363; doi:10.1093/geront/31.3.358
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© 1991 The Gerontological Society of America

Eliciting Medical Care Preferences from Nursing Home Residents1

Carole Michelson, MD2, Michael Mulvihill, DrPH2, Ming-Ann Hsu, MPH2 and Ellen Olson, MD2

2 The Jewish Home and Hospital for Aged New York, NY and The Department of Geriatrics and Adult Development, Mount Sinai School of Medicine New York, NY


  Abstract

We interviewed 44 residents of a nursing home to assess their preferences for care. Using case vignettes, we asked residents about resuscitation, hospital transfer, feeding tubes, and restraint use. Most were opposed to aggressive care unless the purpose was to enhance comfort or safety. However, sufficient diversity of opinions points to the need for advanced directives.

Keywords: Ethics, Advanced directives, Dementia

1 The vignettes used in this study were adapted from a series developed by Nancy Zwiebel and Chris Cassel for outpatients in order to be applicable to nursing home residents. Special thanks to Camille Cohen and Brenda Stiefel for assistance with data collection, to Neomia Cook for technical assistance, and to Susan Blank for reviewing the manuscript. This work was conducted at The Jewish Home and Hospital for Aged, New York. Address correspondence to: Michael Mulvihill, DrPH, The Jewish Home and Hospital for Aged, 120 West 106th St., New York, NY 10025.


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