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Centre for Policy on Ageing | |
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Trajectories of care home residents during the last month of life
— the case of France | | Author(s) | Sophie Pennec, Joelle Gaymu, Elisabeth Morand |
| Journal title | Ageing and Society, vol 37, no 2, February 2017 |
| Publisher | Cambridge University Press, February 2017 |
| Pages | pp 325-351 |
| Source | journals.cambridge.org/aso |
| Keywords | Residents [care homes] ; Care homes ; Nursing homes ; Admission [hospitals] ; Dying ; Terminal care ; Medical care ; Demography ; France. |
| Annotation | This paper examines some demographic and medical factors associated with the likelihood of residing in a care home during the last month of life for people aged 70 and over in France and, if so, of remaining in the care home throughout or being transferred to hospital. The data are from the Fin de vie en France (End of Life in France) survey undertaken in 2010. During the last month of life, very old people are more likely to be living in a care home but are not less likely to be transferred to hospital. Medical conditions and residential trajectories are closely related. People with dementia or mental disorders are more likely to live in a care home and, if so, to stay there until they die. Compared to care homes, a more technical and medication-based approach is taken in hospitals; and care home residents who are transferred to hospital more often receive medication, while those remaining in care homes more often receive support from a psychologist. In hospitals as in care homes, few older people had recourse to advance directives, and hospice programmes were not widespread. Promoting these two factors may help to increase the quality of end of life and facilitate an ethical approach to end-of-life care. (RH). |
| Accession Number | CPA-170210204 A |
| Classmark | KX: KW: LHB: LD:QKH: CX: LV: LK: S8: 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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