scholarly journals End-of-life care and ethics in the elderly patients

2008 ◽  
Vol 45 (4) ◽  
pp. 395-397 ◽  
Author(s):  
Hisayuki Miura
Keyword(s):  
Elderly Patients ◽  
End Of Life ◽  
End Of Life Care ◽  
The Elderly ◽  
Life Care

scholarly journals The process of end-of-life care delivery to the families of elderly patients according to the Family Health Strategy

2013 ◽  
Vol 21 (1) ◽  
pp. 380-387 ◽  
Author(s):  
Lucía Silva ◽  
Kátia Poles ◽  
Michelle Freire Baliza ◽  
Mariana Cristina Lobato dos Santos Ribeiro Silva ◽  
Maiara Rodrigues dos Santos ◽  
...  
Keyword(s):  
Elderly Patients ◽  
End Of Life ◽  
End Of Life Care ◽  
Care Delivery ◽  
Family Health ◽  
The Elderly ◽  
Life Care ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

OBJECTIVE: To understand the process of end-of-life care delivery to the families of elderly patients according to a Family Health Strategy (FHS) team, to identify the meanings the team attributes to the experience and to build a theoretical model. METHOD: Symbolic Interactionism and Grounded Theory were applied. Fourteen professionals working in an FHS located in a country town in the state of São Paulo were interviewed. RESULTS: Through comparative analysis, the core category overcoming challenges to assist the family and the elderly during the dying process was identified, and it was composed of the following sub-processes: Identifying situational problems, Planning a new care strategy, Managing the care and Evaluating the care process. CONCLUSION: the team faces difficulties to achieve better performance in attending to the biological and emotional needs of families, seeking to ensure dignity to the elderly at the end of their lives and expand access to healthcare.

scholarly journals Life-and-Death Attitude and Its Formation Process and End-of-Life Care Expectations Among the Elderly Under Traditional Chinese Culture: A Qualitative Study

2021 ◽  
pp. 104365962110214
Author(s):  
Lei Lei ◽  
Quanxi Gan ◽  
Chunyan Gu ◽  
Jing Tan ◽  
Yu Luo
Keyword(s):  
Qualitative Study ◽  
End Of Life ◽  
Formation Process ◽  
End Of Life Care ◽  
Chinese Culture ◽  
Life Quality ◽  
The Elderly ◽  
Life Care ◽  
Life And Death ◽  
The Individual

Introduction With the global aging process intensified, the demand for end-of-life care has surged, especially in China. However, its development is restricted. Understanding the life and death attitude among the elderly and its formation process, and clarifying their needs, are so important to promote social popularization of end-of-life care. Methodology This qualitative study included 20 elderly residents in Nan and Shuangbei Communities, Chongqing City, People’s Republic of China. Data were collected through semistructured in-depth individual interviews and processed by thematic analysis method. Results Three themes and eight subthemes were identified: Characteristics of formation process (passive thinking, closed and single), life-and-death attitude (cherish and enjoy life, quality of life priority, let death take its course) and expectations of end-of-life care (preferences, basic needs, good death). Discussion Life-and-death attitude and end-of-life care expectations of the elderly support the development and delivery of end-of-life care. Furthermore, the individual-family-hospital linkage discussion channel needs to be further explored.

scholarly journals PinPinKorori or NenNenKorori: the historical and socioeconomic background of geriatric trauma care in Japan

2019 ◽  
Vol 4 (1) ◽  
pp. e000254
Author(s):  
Takashi Fujita
Keyword(s):  
End Of Life ◽  
Trauma Care ◽  
End Of Life Care ◽  
Social Issues ◽  
The Elderly ◽  
Geriatric Trauma ◽  
Socioeconomic Background ◽  
Life Care ◽  
Level Of Evidence ◽  
Care For The Elderly

IntroductionAging is one of the most serious social issues, not only in Japan. A country’s socioeconomic conditions must be taken into account when considering the issue of rapid aging. The purpose of this review was to introduce the historical and socioeconomic background of geriatric trauma care in Japan.MethodLiterature review regarding the trauma care for the elderly written in Japanese and English.Results“PinPinKorori” is a Japanese word which symbolizes an ideal, healthy life. “NenNenkorori” is the opposite of PinPinKorori. The Japanese elderly desire to live a healthy, active life and die (PinPinKorori) rather than being bedridden and dying in agony. A bedridden individual (NenNenKorori) is a candidate for receiving end-of-life care. End-of-life care is a form of trauma care for the elderly that ensures quality of death for those in need.ConclusionsI encourage the elderly to document their advance care preferences with decision-making capacity in order to avoid futile care. Healthcare providers should strive to provide optimum care to the patients in their best interest and ensure not to provide treatment that is not desired by the patients.Level of evidenceLevel IV.

scholarly journals Option of Using Peripherally Inserted Central Catheters in Elderly Patients With Dementia: An Observational Study

2020 ◽  
Vol 6 ◽  
pp. 233372142090692
Author(s):  
Yoshihisa Nakano ◽  
Takahisa Kondo ◽  
Toyoaki Murohara ◽  
Kazunobu Yamauchi
Keyword(s):  
Elderly Patients ◽  
End Of Life ◽  
End Of Life Care ◽  
Acute Treatment ◽  
Oral Intake ◽  
Acute Illness ◽  
Care Group ◽  
Life Care ◽  
Peripherally Inserted Central Catheters ◽  
Central Catheters

Background: Peripherally inserted central catheters (PICCs) facilitate the treatment of several diseases. Here, we assessed the clinical course of elderly patients with dementia using PICCs. Methods: This retrospective observational study was conducted at a single dementia treatment center. PICCs were used in elderly inpatients with dementia who required (a) intravenous therapy, supplemental parenteral nutrition, and dysphagia rehabilitation during acute illness; (b) end-of-life care; (c) total parenteral nutrition (TPN); or (d) an alternative to peripheral vascular (PV) access. Results: Fifty-nine patients were enrolled (83.5 ± 6.9 years): 61% were in the acute treatment group, and 17% were in the end-of-life care group. The median catheter lifespan was 42 (23–87.5) days. The incidence of catheter-related bloodstream infection was 0.22 per 1,000 PICC-days, and that of deep venous thrombosis was 0.66 per 1,000 PICC-days. Among the patients in acute treatment group, 19% resumed sufficient oral intake after the treatment using PICC, and 36% resumed oral intake of gelatin-like food. Among the patients in the end-of-life care group, 91% received intravenous fluids continuously until death by initially inserted PICC. Conclusion: In elderly patients with dementia, PICCs might be one of the options during the treatment of acute illness as well as for prolonged support during end-of-life care.

Palliative and end-of-life care for the elderly

2016 ◽  
pp. 671-684
Author(s):  
Molly M. Hanson ◽  
Kristine Swartz ◽  
Brooke K. Worster
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
The Elderly ◽  
Life Care ◽  
Care For The Elderly
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