Cognitive and Functional Decline Among Long-Term Care Residents

In this study, severe permanent impairment in function and cognition were common and often present near the end of life for LTC residents, but a minority of residents lived in these states for years. These results suggest that building shared understanding and open communication about the natural course of frailty trajectories for LTC residents may support resident-centered medical decision-making.

Authors

Institutions

Publication Details

Journal
JAMA Network Open
Published
2025-04-23
DOI
https://doi.org/10.1001/jamanetworkopen.2025.5635
Citations
8
Primary Topic
Geriatric Care and Nursing Homes
Type
article
Field-Weighted Citation Impact
22.52

Funders

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article

Cognitive and Functional Decline Among Long-Term Care Residents

Daniel Kobewka, Celeste Fung, Mary Scott, Ramtin Hakimjavadi et al.
8 citations
JAMA Network Open
Geriatric Care and Nursing Homes
22.52
article

Cognitive and Functional Decline Among Long-Term Care Residents

Daniel Kobewka, Celeste Fung, Mary Scott, Ramtin Hakimjavadi, Robert Talarico, Sandy Shamon, Frank Molnar, Aliza Moledina, Douglas G. Manuel, Peter Tanuseputro, Paul E. Ronksley, Sharon Kaasalainen, Amy T. Hsu, Colleen Webber, Kumanan Wilson, Tim Ramsay, Benoît Robert, Christina Y. Yin, Jackie Kierulf
article en
8 citations

Abstract

In this study, severe permanent impairment in function and cognition were common and often present near the end of life for LTC residents, but a minority of residents lived in these states for years. These results suggest that building shared understanding and open communication about the natural course of frailty trajectories for LTC residents may support resident-centered medical decision-making.

JAMA Network OpenVol. 8(4)
University of Ottawa (CA), University of Calgary (CA), Public Health Agency of Canada (CA), University of Toronto (CA), Ottawa Hospital (CA), Bruyère (CA), Ottawa Hospital Research Institute (CA), University of Hong Kong (HK), McMaster University (CA)
Canadian Institutes of Health Research
Peace, Justice and strong institutions
Openalex Percentile: Top 1%
Geriatric Care and Nursing Homes
22.52
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