Facts on Dying 2004 - State Profiles - North Dakota - Brown University Center for Gerontology & Health Care Research

	*Facts On Dying:* *Policy relevant data on care at the end of life*

NORTH DAKOTA 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

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Information on site of death

1989

1997

2001

Percentage of people who died at Home	ND	12.1%	15.5%	17.0%
Percentage of people who died at Home	US	16.2%	22.5%	23.2%

Percentage of people who died in Nursing Homes	ND	26.5%	36.9%	36.5%
Percentage of people who died in Nursing Homes	US	17.7%	23.0%	23.7%

Percentage of people who died in Hospitals	ND	60.6%	46.8%	45.3%
Percentage of people who died in Hospitals	US	63.4%	51.7%	49.2%

Pain in Nursing Homes

1999

2000

2001

Excruciating daily pain among all patients	ND	4.9%	3.6%	3.3%
Excruciating daily pain among all patients	US	3.9%	3.6%	3.7%

Rate of moderate or excruciating pain among patients who are terminally ill	ND	48.2%
	US	44.3%

Persistent severe pain	ND	43.8%	43.7%	40.8%
Persistent severe pain	US	41.5%	41.7%	41.6%

Persistent severe pain among patients with cancer	ND	46.9%
Persistent severe pain among patients with cancer	US	46.7%

		1999	2000	2001
Use of formal advance directives in all nursing home residents	ND	43.1%	45.4%	47.7%
	US	35.4%	36.1%	36.4%

Use of formal advance directives in terminally ill nursing home residents	ND	43.0%	45.9%	46.0%
	US	42.8%	45.0%	45.4%

Use of formal advance directives in persons with severe cognitive impairment	ND	41.0%	43.9%	45.9%
	US	34.8%	36.9%	37.6%

Do Not Resuscitate orders among all nursing home residents	ND	64.5%	69.0%	69.4%
Do Not Resuscitate orders among all nursing home residents	US	43.4%	44.3%	44.7%

Do Not Resuscitate orders among terminally ill nursing home residents	ND	82.1%	82.6%	87.2%
	US	72.4%	74.4%	74.2%

Do Not Resuscitate orders among persons with severe cognitive impairment	ND	82.9%	82.8%	83.8%
	US	58.7%	61.2%	61.3%

Orders to forego Artificial hydration and nutrition among all nursing home residents	ND	5.7%	6.7%	7.1%
	US	8.6%	9.0%	9.2%

Orders to forego Artificial hydration and nutrition among terminally ill nursing home residents	ND	5.7%	9.3%	7.1%
	US	11.7%	14.5%	15.0%

Orders to forego Artificial hydration and nutrition among persons with severe cognitive impairment	ND	8.0%	11.2%	10.8%
	US	10.4%	11.0%	11.4%

Use of feeding tubes among persons with severe cognitive impairment	ND	10.5%	8.8%	8.0%
	US	21.5%	21.5%	21.2%

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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.