J Am Geriatr Soc February 2021 PMID 33170957

Guardianship and End-of-Life Care for Veterans with Dementia in Nursing Homes.

Andrew B Cohen, Ling Han, John R OʼLeary, Terri R Fried

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Mentions

Peak: 7 in Jan 2021

across 3 sources since Nov 2020

Extended reach

142,073

potential audience

Total likes

Video views

207

Mentions per month

Nov 2020 – Apr 2021

Where it's discussed

X / Twitter17 posts
Blogs3 articles
YouTube1 videos

AI synopsis

What people are saying

The group shows high interest and engagement, with comments emphasizing the need to honor veterans ('give it a read and think about our veterans') and discussing ethical issues in decision-making ('focus on ethical issues in decision making'). Words like 'great discussion' and references to societal and personal costs reflect a constructive dialogue aimed at improving care approaches, consistent with the modest but significant perceived impact.

AgreementModerate agreement

Most discussions acknowledge that guardianship does not significantly influence the level of end-of-life care, aligning with the article's findings of no strong difference in treatment intensity.

InterestHigh interest

The posts show high curiosity and concern about veterans' care, emphasizing societal responsibility and ethical issues, indicating strong engagement with the topic.

EngagementModerate engagement

Several comments reference broader ethical considerations, the role of guardianship, and societal values, reflecting a meaningful level of engagement beyond surface-level reactions.

ImpactModerate impact

The discussions highlight the importance of understanding and improving end-of-life care practices, suggesting these conversations could influence future approaches and policies.

Abstract in brief

This study examined whether veterans with dementia in nursing homes and under professional guardianship received more intensive end-of-life treatments compared to those without guardians, finding no significant overall difference in treatment rates.
Veterans with guardians were slightly more likely to be admitted to the ICU near the end of life, but the difference was not statistically significant, and other treatments showed no consistent pattern of increased intensity.
The findings suggest that having a professional guardian does not strongly influence the level of aggressive end-of-life care for veterans with dementia in nursing homes, although some specific treatments like ICU admission and certain hospitalizations were somewhat higher among those with guardians.

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All mentions

End-of-Life Decision Making in Guardianship Contexts Enhances Patient Care

Surrogate decisionmaking around lifesustaining treatments in the hospital even in the best of circumstances is hard. This video discusses the challenges faced when caring for those under guardianship or with…

GeriPal - A Geriatrics & Palliative Care Podcast · Dec 17, 2020 207 views

Affordable Healthcare for the people

@ahc4456 · X

the relationship is needed when you are giving back to the people that need it the most. Give it a read and think about our veterans! #vet #helpout #hardwork #dementia https://t.co/1dmrwDeLYL

Apr 15, 2021 · 1 followers View post →

Affordable Healthcare for the people

@ahc4456 · X

The Journal of American Geriatrics Society has an article titled “Guardianship and End‐of‐Life Care for Veterans with Dementia in Nursing Homes.” Andrew B. Cohen MD explains how important it is to honor hour veterans. She notes that there is a need to help those who have helped

Apr 15, 2021 · 1 followers View post →

Dr Miguel Coral

@MIGUELCORAL · X

RT @WesElyMD: “Advanced Care Planning” is more than just what we want at end-of-life re: ICU care, CPR, vent, etc. & our decisions don’t oc…

Mar 22, 2021 · 2 shares · 118 followers View post →

Sapna Kudchadkar, MD, PhD

@SapnaKmd · X

RT @WesElyMD: “Advanced Care Planning” is more than just what we want at end-of-life re: ICU care, CPR, vent, etc. & our decisions don’t oc…

Mar 22, 2021 · 2 shares · 16,805 followers View post →

john morley

@drjohnmorley · X

Guardianship and End‐of‐Life Care for Veterans with Dementia in Nursing Homes https://t.co/dnGCdLEO8S

Mar 22, 2021 · 8,309 followers View post →

WesElyMD

@WesElyMD · X

Mar 22, 2021 · 15 likes · 2 shares · 57,334 followers View post →

CE Rural Alzheimer’s & Dementia Research Center

@CERDAR_MKMDT · X

RT @TRECResearch: Guardianship and End-of-Life Care for Veterans with Dementia in Nursing Homes https://t.co/gsDiMs2T0W

Feb 18, 2021 · 1 share · 144 followers View post →

Translating Research in Elder Care

@TRECResearch · X

Guardianship and End-of-Life Care for Veterans with Dementia in Nursing Homes https://t.co/gsDiMs2T0W

Feb 18, 2021 · 1 share · 3,148 followers View post →