Lead author Anne Kelly, a social worker at the San Francisco VA Medical Center, has an explanation for this. And it has nothing to do with divine comeuppance.
Simply put, folks with more money had the resources to stay at home or elsewhere longer and exhaust all the possibilities before ending up at a nursing home, she says. By the time they reach the last stage, they're further along than poor folks.
The study was based on analysis of 1,817 nursing home residents who died over a 17-year span in nursing homes; fully one-quarter of Americans now die in nursing homes, the researchers note. The average age of study participants when they moved to nursing homes was just over 83. And the average length of stay before death was just under 14 months. The median stay, however, was just five months -- and 53 percent of the nursing home residents in the study pool had died within six months.
Granted, the study pool was only composed of patients who were already dead -- so elderly people who lived, or continue to live, for marathon stretches in nursing homes were not included. But researchers' conclusions are as stark as yours likely are: Patients often don't last long. Those with elderly relatives should keep that in mind -- as should health professionals.
"We need to engage nursing home residents in planning conversations
about end-of-life care and treatment preferences very soon after they
are admitted," said co-author Dr. Alex Smith, a UCSF professor . "We have only a brief amount of time to address their