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Due to increased institutionalization and medicalization of the suffering and dying, fewer people have experiences with death and therefore fear it more [ 62, 63].
BPSD have been associated with a poorer prognosis, a more rapid rate of cognitive decline, and illness progression [ 6], greater impairment in activities of daily living (ADLs) [ 6], and increased institutionalization at hospitals or residential care facilities [ 2, 7].
These complications contribute to mortality, decreased functional status, limited rehabilitation, prolonged length of stay, increased institutionalization, and higher health care costs (Lyketsos et al 2000; Marcantonio et al 2000; McCusker et al 2003; Bynum et al 2004).
Institutional learning, increased institutionalization of the priorities, more efficient decision making, more consistent decision making, or increased compliance with decisions (i.e. 'buy-in') are valuable, hard to achieve outcomes of successful priority setting.
Results from a recent study by Lopez and colleagues [ 95] challenge these findings and warnings by showing that the subset of their cohort exposed to neuroleptic drugs did not show a relationship to increased mortality or increased institutionalization when controlling for the psychiatric symptoms for which the drugs were prescribed.
This study shows that disabled older people who receive multi-disciplinary PCDIR, maintain higher levels of independence, spend fewer days in short-term nursing homes and do not have increased institutionalization during 18 months follow-up, compared to disabled older people who receive multi-disciplinary PCNHR.
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The popularity of the Marxist perspective has made possible its increasing institutionalization and its widespread impact on virtually all active philosophical approaches in Latin America.
We found that with increasing institutionalization of a consistent and empowered product management role, the success rate of projects in terms of schedule predictability, quality and project duration improves.
However, maintaining this autonomy in the face of increasing institutionalization of programme within the health department is a challenge for SHRC (SHRC State official Interview).
One major policy initiative includes increasing institutionalization of deliveries facilitated through the Janani Suraksha Yojana (JSY) program a national conditional cash transfer scheme started in 2005 that provides eligible women with cash incentives for giving births in an institution.
At 18 months follow-up the PCDIR-patients maintained higher levels of independence, spent fewer days in short-term nursing homes, and did not increase the institutionalization compared to PCNHR.
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