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Centre for Policy on Ageing | |
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The care needs of community-dwelling seniors suffering from advanced chronic obstructive pulmonary disease | Author(s) | Donna M Wilson, Carolyn Ross, Donna Goodridge |
Journal title | Canadian Journal on Aging, vol 27, no 4, Winter 2008 |
Pages | pp 347-358 |
Source | http://www.utpjournals.com |
Keywords | Heart disease ; Living in the community ; Needs [elderly] ; Medical care ; Domiciliary services ; Qualitative Studies ; Canada. |
Annotation | Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality worldwide. Although hospital admission for illness exacerbations and end-stage care may be common, most people with COPD live out their lives in the community. This study used an ethnographic qualitative approach and was guided by the research question, "What are the care needs and care priorities of older people with end-stage COPD?" 12 community-dwelling older people living in a Canadian city and diagnosed with advanced COPD were interviewed three times in their homes over an 8-month period in 2006. Three themes emerged, each with concrete care needs: self-reliance and independence through adaptation; stable health through maintenance; and living with constraints. The predominant theme was that all participants wanted to maintain their independence. This required considerable adaptation, as well as assistance form others. Ensuring and improving assistance was important to prevent additional suffering, and reducing exacerbations requiring hospital admission was a particularly important aim given the high and rising incidence of advanced COPD. A number of other insightful findings reveal the significance of learning directly from those who live with chronic illnesses about their lives. (RH). |
Accession Number | CPA-090602203 A |
Classmark | CQH: K4: IK: LK: N: 3DP: 7S |
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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