Decision-Making Incapacity Among Nursing Home Residents: Results From the 1987 NMES Survey.

Citation data:

Behavioral Sciences and the Law, Page: 405-414

Publication Year:
1995
Usage 3
Abstract Views 3
Repository URL:
https://digitalcommons.bucknell.edu/fac_journ/843
Author(s):
Smyer, Michael A.; Goodwin, Paige; Lair, Tamra
article description
Recent legislative and regulatory developments have focused attention on older adults' capacity for involvement in health care decision-making. The Omnibus Budget Reconciliation Act of 1987 (OBRA 87) focused attention on the rights of nursing home residents to be involved in health care decision-making to the fullest extent possible. This article uses data from the 1987 National Medical Expenditure Survey (NMES) to examine rates of incapacity for health care decision-making among nursing home residents. Elements of the Oklahoma statute were used to operationalize decision-making incapacity: disability or disorder, difficulty in decision-making or communicating decisions, and functional disability. Fifty-three percent of nursing home residents had a combination of either physical or mental impairment and an impairment in either self-care or money management. The discussion focuses on the policy and practice implications of significant rates of incapacity among nursing home residents.