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Centre for Policy on Ageing | |
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Discussing end-of-life issues in nursing homes
— a nationwide study in France | | Author(s) | Lucas Morin, Kristina Johnell, Lieve Van den Block, Regis Aubry |
| Journal title | Age and Ageing, vol 45, no 3, May 2016 |
| Publisher | Oxford University Press, May 2016 |
| Pages | pp 395-402 |
| Source | www.ageing.oxfordjournals.org |
| Keywords | Nursing homes ; Dying ; Terminal care ; Residents [care homes] ; Doctors ; The Family ; Communication ; France. |
| Annotation | Discussing end-of-life issues with nursing home residents and their relatives is needed to ensure patient-centred care near the end of life. This study aimed to estimate the frequency of nursing home physicians discussing end-of-life issues with residents and their relatives and to investigate how discussing end-of-life issues was associated with care outcomes in the last month of life. This was a post-mortem cohort study in a nationwide, representative sample of 78 nursing home facilities in France. Residents who died from non-sudden causes between October 2013 and May 2014 in these facilities were included. End-of-life issues were discussed with at most 21.7% of the residents who died during the study period. In one-third of the situations, no discussion about end-of-life-related topics ever occurred, either with the resident or with the relatives. Older people with severe dementia were less likely to have discussed more than three of the six end-of-life topics investigated, compared with residents without dementia. In the last month of life, discussing more than three end-of-life issues with the residents or their relatives was significantly associated with reduced odds of dying in a hospital facility and with a higher likelihood of withdrawing potentially futile life-prolonging treatments. During the last months of life, discussions about end-of-life issues occurred with only a minority of nursing home decedents, although these discussions may improve end-of-life care outcomes. (JL). |
| Accession Number | CPA-160805218 A |
| Classmark | LHB: CX: LV: KX: QT2: SJ: U: 765 |
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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