scholarly journals End-of-life care for the elderly patients with heart failure

2021 ◽  
Vol 58 (3) ◽  
pp. 388-394
Author(s):  
醒悟 大石
Keyword(s):  
Heart Failure ◽  
Elderly Patients ◽  
End Of Life ◽  
End Of Life Care ◽  
The Elderly ◽  
Life Care ◽  
Care For The Elderly ◽  
Patients With Heart Failure

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.

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

Heart failure in the elderly: diastolic heart failure, medical therapy, women and end-of-life care

Aging Health ◽  
2010 ◽  
Vol 6 (4) ◽  
pp. 429-437
Author(s):  
Pavittarpaul Dhesi ◽  
Robert D Willix ◽  
Anita Phan ◽  
Faramarz Tehrani ◽  
Daniel Daneshvar ◽  
...  
Keyword(s):  
Heart Failure ◽  
End Of Life ◽  
Medical Therapy ◽  
End Of Life Care ◽  
Diastolic Heart Failure ◽  
The Elderly ◽  
Life Care

scholarly journals Current Conditions and Worker Attitudes in End-of-Life Care for the Elderly in Korea

2015 ◽  
Vol 3 (1) ◽  
pp. 14-21
Author(s):  
Masumi Goto ◽  
Naoko Morita ◽  
Fumie Katagiri ◽  
Toshiyuki Tsukamoto
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
The Elderly ◽  
Life Care ◽  
Worker Attitudes ◽  
Care For The Elderly

scholarly journals Development and effectiveness of advance care planning protocol for heart failure outpatients

2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
AH Higashitsuji ◽  
SO Okada ◽  
YF Fujisawa ◽  
MS Sano ◽  
NT Taguchi ◽  
...  
Keyword(s):  
Heart Failure ◽  
End Of Life ◽  
End Of Life Care ◽  
Home Visit ◽  
Decision Makers ◽  
Care Planning ◽  
Life Care ◽  
Patients With Heart Failure ◽  
Surrogate Decision Makers ◽  
Surrogate Decision

Abstract Funding Acknowledgements Type of funding sources: None. Background/Introduction Heart failure has a poor prognosis, and the number of patients continues to increase. Moreover, since it is a disease that causes various sufferings, substantial end-of-life care is needed. Advanced care planning (ACP) is a part of end-of-life care for patients with heart failure. ACP provides patient decision-making opportunities, documenting end-of-life preferences, and increasing end-of-life conversation. However, the ACP intervention for patients with heart failure is not integrated, and studies are insufficient. In addition, Japan follows a non-Western culture, in which participation in the medical decision-making is reluctant and considered to be less prepared for ACP. Clarifying the effects of systematic ACP on patients with heart failure in Japan can be used to determine effective interventions in Japan and may provide effective ACP intervention for patients who have no preparedness worldwide. Purpose This study aimed to identify the effect of protocol-based intervention on the outcomes of ACP in Japanese outpatients with heart failure. Methods This is a single-center retrospective observational study. Data on patient attributes, conversation records, and document information from medical records of patients who have undergone intervention using the predeveloped ACP protocol were collected. Numerical data were statistically analyzed. ACP results were evaluated by performing deductive content analysis on the basis of existing frameworks. A subgroup analysis was performed on differences in ACP outcomes based on patient attributes. Results Data were collected from 13 patients who underwent ACP intervention. The median age was 69 years. Moreover, 76% were male, 84% were married, 76% were living with family, and 46% were receiving home-visit nursing care. New York Heart Association functional classification II was the most common in the severity classification of heart failure, and ischemic cardiomyopathy was the most common etiology. Documenting patient’s wishes, recording patient’s wishes in medical record, and identifying what brings value to patient"s life were achieved in 76% of the participants. Deciding surrogate decision makers, discussing values and care preferences with the surrogate, and discussing values and care preferences with health care professionals were achieved in 69% of the participants. Differences in patient attributes, such as age and presence or absence of home-visit nursing, did not affect ACP outcomes. Conclusion Protocol-based ACP allows patients with heart failure to determine surrogate decision makers and discuss care preferences with healthcare professionals, identify what they value, and record their wishes. The protocol-based ACP had a positive impact on ACP outcomes, without being restricted by patient attributes.

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