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Centre for Policy on Ageing | |
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Care at the end of life
— focus on communication and race | | Author(s) | Jane G Zapka, Rickey Carter, Cindy L Carter |
| Journal title | Journal of Aging and Health, vol 18, no 6, December 2006 |
| Pages | pp 791-813 |
| Source | http://www.sagepublications.com |
| Keywords | White people ; Black African ; Cancer ; Heart disease ; Terminal care ; Cross sectional surveys ; United States of America. |
| Annotation | This pilot was a cross-sectional study sample of 90 patients (39 Caucasian, 51 African American; response rate 94%) with advanced heart failure or cancer. Participants completed an in-person, race-matched interview. The study aimed to profile communication and recommendations reported by adults with terminal illness, and to explore differences by patient and physician characteristics. Discussion about end-of-life topics was low. For example, only 30% reported discussion of advance directives, and 22% reported that their physician inquired about spiritual support. Participants with cancer were significantly more likely to be receiving pain and/or symptom management at home, be aware of prognosis, and participate in hospice care. African American participants who were under the care of African American physicians were less likely to report pain and/or symptom management than other racial matches. Although additional research on factors relating to communication is important, initiation of patient-centred counselling by all physicians with seriously ill patients is essential. (RH). |
| Accession Number | CPA-070124202 A |
| Classmark | TKA: TKF: CK: CQH: LV: 3KB: 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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