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Centre for Policy on Ageing | |
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Preferences of older African-Americans for long-term tube feeding at the end of life | Author(s) | A M Fairrow, T J McCallum, B J Messinger-Rapport |
Journal title | Aging & Mental Health, vol 8, no 6, November 2004 |
Pages | pp 530-534 |
Source | http://www.tandfonline.com |
Keywords | Black people ; Attitude ; Feeding aids ; Long term ; Medical care ; Terminal care ; United States of America. |
Annotation | Five focus groups were conducted with African-American subjects invited from a hospital's geriatric clinic. Five broad themes emerged as reasons behind the acceptance or rejection of a PEG (percutaneous endoscopic gastronomy) tube, namely: the nature of the illness; the quality of life at the time of the decision; the concern about dependency; experiences; and religion (including issues of death). The issue of proxy also arose and contained three themes: fear of less decision-making ability; trust in family or caregivers as proxy even when the proxy choice differed from their own choices; and trust in the doctor and family to respect personal decisions. Use of a qualitative approach enabled potentially sensitive issues to be discussed. Preferences and the reasons behind these preferences may not always be anticipated by clinicians. (RH). |
Accession Number | CPA-041216211 A |
Classmark | TKE: DP: MK: 4Q: LK: LV: 7T |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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