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Facts On Dying:
Policy relevant data on care at the end of life
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MASSACHUSETTS STATE PROFILE


Information on site of death
Pain in Nursing Homes
Use of formal advance directives in all nursing home residents
Use of formal advance directives in terminally ill nursing home residents
Use of formal advance directives in persons with severe cognitive impairment
Do Not Resuscitate orders among all nursing home residents
Do Not Resuscitate orders among terminally ill nursing home residents
Do No Resuscitate orders among persons with severe cognitive impairment
Orders to forego artificial hydration and nutrition among all nursing home residents
Orders to forego artificial hydration and nutrition among terminally ill nursing home residents
Orders to forego artificial hydration and nutrition among persons with severe cognitive impairment
Use of feeding tubes among persons with severe cognitive impairment

PLEASE NOTE: We have recently updated the data and modified the format of this site to make it easier to use. Please see What's New for a full description of all our changes.

Information on site of death
1989
1997
2001
Percentage of people who died at Home
MA
16.0%
20.4%
21.1%
US
16.2%
22.5%
23.2%
         
Percentage of people who died in Nursing Homes
MA
16.0%
30.7%
31.6%
US
17.7%
23.0%
23.7%
         
Percentage of people who died in Hospitals
MA
67.6%
48.0%
46.1%
US
63.4%
51.7%
49.2%

 

Pain in Nursing Homes
1999
2000
2001
Excruciating daily pain among all patients
MA
10.3%
3.7%
3.6%
US
3.9%
3.6%
3.7%
 
 
Rate of moderate or excruciating pain among patients who are terminally ill
MA
48.2%
   
US
44.3%
   
 
 
Persistent severe pain
MA
38.1%
36.1%
36.1%
US
41.5%
41.7%
41.6%
 
Persistent severe pain among patients with cancer
MA
46.2%
   
US
46.7%
   

 

1999
2000
2001
Use of formal advance directives in all nursing home residents MA
20.5%
21.9%
23.3%
US
35.4%
36.1%
36.4%
Use of formal advance directives in terminally ill nursing home residents MA
21.8%
26.0%
29.5%
US
42.8%
45.0%
45.4%
Use of formal advance directives in persons with severe cognitive impairment MA
22.2%
25.8%
27.4%
US
34.8%
36.9%
37.6%
Do Not Resuscitate orders among all nursing home residents MA
46.1%
49.5%
50.6%
US
43.4%
44.3%
44.7%
Do Not Resuscitate orders among terminally ill nursing home residents MA
78.0%
82.5%
82.2%
US
72.4%
74.4%
74.2%
Do Not Resuscitate orders among persons with severe cognitive impairment MA
69.6%
75.1%
75.6%
US
58.7%
61.2%
61.3%
Orders to forego Artificial hydration and nutrition among all nursing home residents MA
3.4%
3.9%
4.4%
US
8.6%
9.0%
9.2%
Orders to forego Artificial hydration and nutrition among terminally ill nursing home residents MA
6.5%
9.5%
10.2%
US
11.7%
14.5%
15.0%
Orders to forego Artificial hydration and nutrition among persons with severe cognitive impairment MA
6.5%
8.2%
9.9%
US
10.4%
11.0%
11.4%
Use of feeding tubes among persons with severe cognitive impairment MA
11.6%
11.5%
10.3%
US
21.5%
21.5%
21.2%


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Funding provided by
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This web site is published by the Center for Gerontology and Health Care Research at the Brown Medical School. For further information, contact the webmaster via e-mail at factsondying@brown.edu or Dr. Joan Teno at Joan_Teno@brown.edu.