Purpose: To identify differences in perspectives that may complicate the process of joint decision making at the end of life, this study determined the agreement of family and staff perspectives about end-of-life experiences in nursing homes and residential care/assisted living communities and whether family and staff roles, involvement in care,…

Examined models for predicting treatment decisions of physicians, nurses, and social workers within acute and long-term care settings. Elicited treatment choices to vignettes regarding decisions to allocate scarce medical resource and to withhold treatment from debilitated patient. Primarily medical factors predicted decision to allocate…

Monitored room changes in four nursing homes over one-year period. Used participant observation; repeated interviews with residents, family members, and nursing home staff; and event analyses to develop detailed case studies of room change decision-making process. Resulting model of room change process and factors influencing process involved five…

Describes the Neighborhood Family (NF), which is based on the premise that older persons can create a self-managed social support network. Arising from community organization of low-income elderly, the model combines a kin-like supportive community, a multipurpose service and activities center, minimal staff, and indigenous decision- making.…