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. Author manuscript; available in PMC: 2020 Aug 5.
Published in final edited form as: Palliat Med. 2020 Mar 10;34(5):580–588. doi: 10.1177/0269216320902672

Table 2:

Weighted Distribution of Vignette-based Palliative Care and Infection Management Processes among US Nursing Homes (n = 892, weighted n = 15,381)1

Scenario 1: Over the past 24 hours, Ms. Davis developed a fever, cough, and shortness of breath and the clinical exam suggested an aspiration pneumonia
In your facility, how likely is it that the follow orders would be in place… Weighted Means Not at all likely Somewhat likely Very likely Don’t know
Mean SE of Mean % SE % SE % SE % SE
“Do Not Resuscitate” order 83.71 0.76 5.77 0.88 36.98 1.81 56.50 1.85 0.75 0.31
The proxy would be asked how to manage the suspected infection 80.83 0.89 13.10 1.28 31.10 1.72 55.42 1.85 0.38 0.17
Orders reflecting “Palliative/Comfort Measures” only 67.33 0.90 24.42 1.62 48.48 1.85 26.40 1.63 0.70 0.28
“Do Not Hospitalize” order 64.02 0.92 31.35 1.75 43.99 1.84 23.51 1.54 1.14 0.39
Patient would be sent to the hospital 59.43 0.83 34.90 1.76 50.23 1.85 13.48 1.28 1.38 0.41
The medical providers would decide how to manage care without asking proxy 51.77 0.97 61.56 1.81 20.42 1.50 17.22 21.42 0.80 0.34
“Do Not Administer Antibiotics” order 47.80 0.75 63.24 1.75 28.40 1.63 7.27 0.89 1.09 0.40
Scenario 2: Over the past 24 hours, Ms. Davis appears more confused and her family mentions to the nurse that her urine looks dark and asks if she has a urinary tract infection
In your facility, how likely is it that… Weighted Means Not at all likely Somewhat likely Very likely Don’t know
Mean SE of Mean % SE % SE % SE % SE
A straight catheter would be used to collect a urine sample 66.62 0.98 30.32 1.67 38.56 1.80 30.18 1.75 0.94 0.37
Treated with antibiotics 61.97 0.88 31.67 1.71 48.95 1.85 17.81 1.46 1.56 0.46
Treated ONLY with measures such as analgesics and oxygen to reduce discomfort (i.e., no antibiotics) 58.87 0.85 37.30 1.81 46.77 1.85 14.29 1.27 1.65 0.49