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End-of-life Care and Social Security Issues among Geriatric People Attending a Tertiary Care Hospital of Eastern India

CONTEXT: The care of sick members is the hallmark of a civilized society. End-of-life care and social security for elderly are emerging issues nowadays. AIMS: The aim of this study is to explore the desires of the elderly regarding the end-of-life care decisions along with to find out social securit...

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Autores principales: Pany, Subraham, Patnaik, Lipilekha, Rao, E Venkata, Pattanaik, Sumitra, Sahu, Trilochan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6199844/
https://www.ncbi.nlm.nih.gov/pubmed/30410250
http://dx.doi.org/10.4103/IJPC.IJPC_26_18
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author Pany, Subraham
Patnaik, Lipilekha
Rao, E Venkata
Pattanaik, Sumitra
Sahu, Trilochan
author_facet Pany, Subraham
Patnaik, Lipilekha
Rao, E Venkata
Pattanaik, Sumitra
Sahu, Trilochan
author_sort Pany, Subraham
collection PubMed
description CONTEXT: The care of sick members is the hallmark of a civilized society. End-of-life care and social security for elderly are emerging issues nowadays. AIMS: The aim of this study is to explore the desires of the elderly regarding the end-of-life care decisions along with to find out social security measures among the study population. SETTINGS AND DESIGN: The cross-sectional study conducted in the geriatric outpatient department of a tertiary care hospital. SUBJECTS AND METHODS: The study period was 4 months from August to November 2017. The geriatric patients attending geriatric outpatient department were interviewed using a predesigned and pretested questionnaire. Convenient sampling was used and a total of 138 participants were included in the study. STATISTICAL ANALYSIS USED: Proportions were used in the study. RESULTS: A total of 63.77% participants expected to die at home surrounded by their family members during their time of death followed by hospital (31.88%). Majority (63.77%) stated their opinions to die a senile death. Organ donation after death was the willingness shown by as high as 70.3%, but registered organ donors were 6.5%. 94.2% participants expected to be cremated after their death while others buried in accord to their religious practices. Only 7.24% of participants had a legal will of their financial establishments. It was observed that even half of the population (47.8%) did not have any form of health or life insurance. CONCLUSION: Home-based care of the elderly is needed so that they can live their last days of life peacefully. Awareness about health and life insurance should be increased by urgent intervention.
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spelling pubmed-61998442018-11-08 End-of-life Care and Social Security Issues among Geriatric People Attending a Tertiary Care Hospital of Eastern India Pany, Subraham Patnaik, Lipilekha Rao, E Venkata Pattanaik, Sumitra Sahu, Trilochan Indian J Palliat Care Original Article CONTEXT: The care of sick members is the hallmark of a civilized society. End-of-life care and social security for elderly are emerging issues nowadays. AIMS: The aim of this study is to explore the desires of the elderly regarding the end-of-life care decisions along with to find out social security measures among the study population. SETTINGS AND DESIGN: The cross-sectional study conducted in the geriatric outpatient department of a tertiary care hospital. SUBJECTS AND METHODS: The study period was 4 months from August to November 2017. The geriatric patients attending geriatric outpatient department were interviewed using a predesigned and pretested questionnaire. Convenient sampling was used and a total of 138 participants were included in the study. STATISTICAL ANALYSIS USED: Proportions were used in the study. RESULTS: A total of 63.77% participants expected to die at home surrounded by their family members during their time of death followed by hospital (31.88%). Majority (63.77%) stated their opinions to die a senile death. Organ donation after death was the willingness shown by as high as 70.3%, but registered organ donors were 6.5%. 94.2% participants expected to be cremated after their death while others buried in accord to their religious practices. Only 7.24% of participants had a legal will of their financial establishments. It was observed that even half of the population (47.8%) did not have any form of health or life insurance. CONCLUSION: Home-based care of the elderly is needed so that they can live their last days of life peacefully. Awareness about health and life insurance should be increased by urgent intervention. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC6199844/ /pubmed/30410250 http://dx.doi.org/10.4103/IJPC.IJPC_26_18 Text en Copyright: © 2018 Indian Journal of Palliative Care http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Pany, Subraham
Patnaik, Lipilekha
Rao, E Venkata
Pattanaik, Sumitra
Sahu, Trilochan
End-of-life Care and Social Security Issues among Geriatric People Attending a Tertiary Care Hospital of Eastern India
title End-of-life Care and Social Security Issues among Geriatric People Attending a Tertiary Care Hospital of Eastern India
title_full End-of-life Care and Social Security Issues among Geriatric People Attending a Tertiary Care Hospital of Eastern India
title_fullStr End-of-life Care and Social Security Issues among Geriatric People Attending a Tertiary Care Hospital of Eastern India
title_full_unstemmed End-of-life Care and Social Security Issues among Geriatric People Attending a Tertiary Care Hospital of Eastern India
title_short End-of-life Care and Social Security Issues among Geriatric People Attending a Tertiary Care Hospital of Eastern India
title_sort end-of-life care and social security issues among geriatric people attending a tertiary care hospital of eastern india
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6199844/
https://www.ncbi.nlm.nih.gov/pubmed/30410250
http://dx.doi.org/10.4103/IJPC.IJPC_26_18
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