Hospice Referral After Inpatient Psychiatric Treatment of Individuals With Advanced Dementia From a Nursing Home

This report addresses the discharge disposition following inpatient psychiatric treatment for advanced dementia. The total population included 685 305 Medicare fee-for-service decedents with advanced cognitive and functional impairment, with a mean age of 85.9 years who had resided in a nursing home. In the last 90 days of life, 1027 (0.15%) persons received inpatient psychiatry treatment just prior to the place of care where the individual died. Discharge dispositions included 132 (12.9%) persons to a medical hospital, 728 (70.9%) to nursing home without hospice services, 73 (7.1%) to hospice services in a nursing home, 32 (3.1%) to home without hospice services, and 16 (1.6%) to hospice services at home. Overall, the rate of referral to hospice services for advanced dementia was relatively low.

Source: American Journal of Hospice and Palliative Medicine - May 8, 2015 Category: Palliative Care Authors: Epstein-Lubow, G., Fulton, A. T., Marino, L. J., Teno, J. Tags: Original Articles Source Type: research