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Comparison of Consensus on Life-sustaining Treatment of the Elderly in Care Facilities and Family Member Dyad

OBJECTIVES: The purpose of this study is to compare the agreement in opinion between the elderly in care facilities and their family members regarding the life-sustaining treatment at the deathbed and to find out if the intentions of the elderly are being properly reflected in their deathbed treatme...

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Autores principales: Lim, Sunmi, Hong, Seong Ae, Lee, Hyun Sook
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4411343/
https://www.ncbi.nlm.nih.gov/pubmed/25938023
http://dx.doi.org/10.1016/j.phrp.2015.02.003
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author Lim, Sunmi
Hong, Seong Ae
Lee, Hyun Sook
author_facet Lim, Sunmi
Hong, Seong Ae
Lee, Hyun Sook
author_sort Lim, Sunmi
collection PubMed
description OBJECTIVES: The purpose of this study is to compare the agreement in opinion between the elderly in care facilities and their family members regarding the life-sustaining treatment at the deathbed and to find out if the intentions of the elderly are being properly reflected in their deathbed treatment. METHODS: Data were collected from 85 elderly individuals at five care facilities in Chunkcheongnam-do and 85 family members. The data were collected with a self-administered questionnaire from July 22, 2013 to August 15, 2014. A total of 170 cases were analyzed using SPSS version 21. RESULTS: First, the family members' preference for life-sustaining treatment was higher than the patients' preference. The preference between the elderly and their family members regarding life-sustaining treatment was statistically significant with regards to oral nutrition, pain control through oral and anal administration, pain control through intravenous administration, transfusion, and admission to an intensive care unit. Second, looking at the agreement between elderly and guardians regarding life-sustaining treatment, there was significant concordance about general testing, oral nutrition, intravenous hydration, intravenous nutrition, antibiotic treatment for severe infection with low resiliency, admission to an intensive care unit, blood pressure increase medication use, cardiopulmonary resuscitation, and tracheotomy. CONCLUSION: It is essential for the medical staff to confirm agreement between the elderly and their family members regarding life-sustaining treatment, and if such a prior agreement is not feasible, the patient's intention should be considered more actionable than their family members.
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spelling pubmed-44113432015-05-01 Comparison of Consensus on Life-sustaining Treatment of the Elderly in Care Facilities and Family Member Dyad Lim, Sunmi Hong, Seong Ae Lee, Hyun Sook Osong Public Health Res Perspect Original Article OBJECTIVES: The purpose of this study is to compare the agreement in opinion between the elderly in care facilities and their family members regarding the life-sustaining treatment at the deathbed and to find out if the intentions of the elderly are being properly reflected in their deathbed treatment. METHODS: Data were collected from 85 elderly individuals at five care facilities in Chunkcheongnam-do and 85 family members. The data were collected with a self-administered questionnaire from July 22, 2013 to August 15, 2014. A total of 170 cases were analyzed using SPSS version 21. RESULTS: First, the family members' preference for life-sustaining treatment was higher than the patients' preference. The preference between the elderly and their family members regarding life-sustaining treatment was statistically significant with regards to oral nutrition, pain control through oral and anal administration, pain control through intravenous administration, transfusion, and admission to an intensive care unit. Second, looking at the agreement between elderly and guardians regarding life-sustaining treatment, there was significant concordance about general testing, oral nutrition, intravenous hydration, intravenous nutrition, antibiotic treatment for severe infection with low resiliency, admission to an intensive care unit, blood pressure increase medication use, cardiopulmonary resuscitation, and tracheotomy. CONCLUSION: It is essential for the medical staff to confirm agreement between the elderly and their family members regarding life-sustaining treatment, and if such a prior agreement is not feasible, the patient's intention should be considered more actionable than their family members. 2015-02-19 2015-04 /pmc/articles/PMC4411343/ /pubmed/25938023 http://dx.doi.org/10.1016/j.phrp.2015.02.003 Text en © 2015 Published by Elsevier B.V. on behalf of Korea Centers for Disease Control and Prevention. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the CC-BY-NC License (http://creativecommons.org/licenses/by-nc/3.0).
spellingShingle Original Article
Lim, Sunmi
Hong, Seong Ae
Lee, Hyun Sook
Comparison of Consensus on Life-sustaining Treatment of the Elderly in Care Facilities and Family Member Dyad
title Comparison of Consensus on Life-sustaining Treatment of the Elderly in Care Facilities and Family Member Dyad
title_full Comparison of Consensus on Life-sustaining Treatment of the Elderly in Care Facilities and Family Member Dyad
title_fullStr Comparison of Consensus on Life-sustaining Treatment of the Elderly in Care Facilities and Family Member Dyad
title_full_unstemmed Comparison of Consensus on Life-sustaining Treatment of the Elderly in Care Facilities and Family Member Dyad
title_short Comparison of Consensus on Life-sustaining Treatment of the Elderly in Care Facilities and Family Member Dyad
title_sort comparison of consensus on life-sustaining treatment of the elderly in care facilities and family member dyad
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4411343/
https://www.ncbi.nlm.nih.gov/pubmed/25938023
http://dx.doi.org/10.1016/j.phrp.2015.02.003
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