Quality of life in nursing home residents with advanced dementia

Zachary Cordner, David M. Blass, Peter V Rabins, Betty E Black

Research output: Contribution to journalArticle


Objectives: To examine quality of life (QOL) in nursing home (NH) residents with advanced dementia and identify correlates of QOL near the end of life. Design: Cross-sectional data derived from NH records, interviews with residents' surrogate decision-makers, QOL ratings by NH caregivers, and assessment of residents' cognitive function. Setting: Three NHs in Maryland. Participants: A cohort of NH residents with dementia (n=119) who were receiving hospice or palliative care or met hospice criteria for dementia and their surrogates. Measurements: QOL based on the proxy-rated Alzheimer' Disease-Related Quality of Life (ADRQL) scale administered to NH staff and validated against a single-item surrogate-rated measure of QOL, the Severe Impairment Rating Scale, to measure cognitive function and dichotomous indicators of neuropsychiatric symptoms (behavior problems, mood disorders, psychosis, delusions). Results: Total ADRQL scores, ranging from 12.4 to 95.1 out of 100, were normally distributed and positively correlated (P

Original languageEnglish (US)
Pages (from-to)2394-2400
Number of pages7
JournalJournal of the American Geriatrics Society
Issue number12
StatePublished - Dec 2010



  • advanced dementia
  • end of life
  • nursing home residents
  • quality of life

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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