Evidence map›Paper›PMID 40035442›Full record

ArticleJournal of the American Geriatrics Society2025

"Nobody Can Be Equipped for This": Advice From New Residents of Long-Term Care Facilities.

Kenneth Lam, James D Harrison, Landon Haller, William J Deardorff, Rebecca L Sudore, Kenneth E Covinsky, Dan D Matlock, Daniel Dohan

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Geriatrics Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kenneth LamDivision of Geriatric Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.ORCID 0000-0002-8148-2421
James D HarrisonDivision of Hospital Medicine, Department of Medicine, University of California, San Francisco, California, USA.ORCID 0000-0002-7761-7039
Landon HallerDivision of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA.
William J DeardorffDivision of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA.ORCID 0000-0002-7947-3008
Rebecca L SudoreDivision of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA.
Kenneth E CovinskyDivision of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA.
Dan D MatlockDivision of Geriatric Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
Daniel DohanPhilip R. Lee Institute for Health Policy Studies, University of California, San Francisco, California, USA.

Funding

UCSF Older Americans Independence CenterP30AG044281 · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · 2025 to 2025
$1.5M
Mentoring Researchers in Advance Care Planning for Older Adults at Risk for Alzheimer’s Disease and Related Dementias and their CaregiversK24AG054415 · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · 2025 to 2025
$185k
Placing patient preferences at the center of care plans for older adults transitioning from the hospital to a skilled nursing facilityK01AG073533 · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · 2025 to 2025
$132k
NIA NIH HHS K01 AG073533NIA NIH HHS K07 AG066814NIA NIH HHS K24 AG054415NIA NIH HHS P30 AG044281NIA NIH HHS R03 AG074038NIA NIH HHS R03 AG082859
6 · The paper itself

Abstract

backgroundThe transition into a long-term care facility (LTCF) is difficult for older adults, prompting calls for clinicians to help guide and plan. Yet we know little about how those with lived experience of moving into an LTCF would advise others.

methodsWe conducted in-person semi-structured interviews with nursing home (NH) and assisted living (AL) residents within 6 months of moving into an urban non-profit continuing care retirement community in California between 2023 and 2024. Interviews were guided by theories of long-term care utilization and asked, "what advice would you give others considering an LTCF?" We thematically analyzed interviews using the constant comparative method.

resultsWe interviewed 8 NH and 6 AL residents. Mean participant age was 82 (range 73-90); 8 were female, 1 participant was Asian, 13 participants were White, and mean Montreal Cognitive Assessment was 19 (range 12-25). Residents talked about LTCF entry within a broader phase of life defined by dependence following sudden unexpected health crises. Advice reflected strategies for this phase of life and highlighted challenges outside of their control. Some residents advised preparation by visiting facilities and budgeting time and resources to plan but discovered care arrangements did not work out as promised; care was fragmented, and dependence caused them to re-evaluate what they wanted. Some advised avoidance as they disliked living in an LTCF but had little control over entry, leading to distrust of those making decisions for them. Others advised acceptance and believed luck or fate dictated how everything worked out in the end.

conclusionsUnanticipated health crises catalyze entry into LTCFs. New residents advised others to prepare for, avoid, or accept LTCF entry, reflecting different strategies for approaching a unique phase of life and highlighting systemic problems that could be improved. Anticipatory guidance for LTCF transitions should acknowledge their sudden nature, these strategies, and the need for system reform.

Indexed as

Assisted Living FacilitiesHomes for the AgedLong-Term CareNursing HomesAgedAged, 80 and overCaliforniaFemaleHumansInterviews as TopicMaleQualitative Research

Identifiers

PMID40035442
PMCPMC12101956

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.