Information and Advance Care Directives for End-of-Life Residents with and without Dementia in Nursing Homes Mota Romero, Emilio Rodríguez Landero, Olga Moya Diéguez, Rocío Cano Garzón, Glaucione Marisol Montoya Juárez, Rafael Puente Fernández, Daniel Nursing home Dementia Decision making Advance care planning Background: Communication and advance care directives may be affected by the presence of dementia. We sought to describe the information and end-of-life preferences provided to nursing homes residents and their families. Methods: Trained nurses collected information from 124 residents randomly selected with palliative care needs from eight nursing homes. Results: A total of 54.4% of the residents with dementia had been provided with information about their state of health, compared to 92.5% of the residents without dementia (p < 0.01); family members exhibited no differences regarding information (p = 0.658), regardless of whether the resident was cognitively impaired. Most advance care interventions remained unexplored, except for cases where a transfer to hospital (81.5%) or serotherapy (69.4%) was desired. Decisions regarding palliative sedation (p = 0.017) and blood transfusion (p = 0.019) were lower among residents with dementia. Conclusions: Residents, especially residents with dementia, are provided with limited information and their preferences are inadequately explored. 2023-03-21T12:17:18Z 2023-03-21T12:17:18Z 2023-01-26 journal article Mota-Romero, E... [et al.]. Information and Advance Care Directives for End-of-Life Residents with and without Dementia in Nursing Homes. Healthcare 2023, 11, 353. [https://doi.org/10.3390/healthcare11030353] https://hdl.handle.net/10481/80716 10.3390/healthcare11030353 eng http://creativecommons.org/licenses/by/4.0/ open access Atribución 4.0 Internacional MDPI