Centre for Policy on Ageing
 

 

Medical care in old age: what do nurses in long-term care consider appropriate?
Author(s)Muriel R Gillick, Marc L Mendes
Journal titleJournal of the American Geriatrics Society, vol 44, no 11, November 1996
Pagespp 1322-1325
KeywordsMedical care ; Terminal care ; Services ; Health services ; Long term ; Nurses ; United States of America.
AnnotationThe views of nurses in long-term care regarding limitations of treatment in older age were explored in this US study. Participants were asked to complete an intervention-specific advance directive for themselves, with scenarios representing terminal illness, dementia plus chronic illness, chronic illness in a nursing home resident, chronic illness in a community-dwelling older persons, and a robust community-dwelling older person. The unit of analysis was the refusal rate, defined as the mean number of refusals for interventions for each respondent. The overall refusal rate for all five scenarios taken together was 72.1%. The refusal rate in the case of terminal illness was 90.9%, in the case dementia plus chronic illness 81.8%, in the case of dementia in a nursing home 69.1%, for a community-dwelling person with chronic illness 70.9%, and for a previously healthy older person living in the community 50%. Findings indicate that nurses working in long-term care institutions have strong preferences about limiting a variety of interventions in older age. (AKM).
Accession NumberCPA-970812221 A
ClassmarkLK: LV: I: L: 4Q: QTE: 7T

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