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Rapid review of decision-making for place of care and death in older people: lessons for COVID-19
INTRODUCTION: The coronavirus pandemic (COVID-19) has affected the functioning and capacity of healthcare systems worldwide. COVID-19 has also disproportionately affected older adults. In the context of COVID-19, decision-making surrounding place of care (PoC) and place of death (PoD) in older adult...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7799338/ https://www.ncbi.nlm.nih.gov/pubmed/33336701 http://dx.doi.org/10.1093/ageing/afaa289 |
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author | West, Emily Moore, Kirsten Kupeli, Nuriye Sampson, Elizabeth L Nair, Pushpa Aker, Narin Davies, Nathan |
author_facet | West, Emily Moore, Kirsten Kupeli, Nuriye Sampson, Elizabeth L Nair, Pushpa Aker, Narin Davies, Nathan |
author_sort | West, Emily |
collection | PubMed |
description | INTRODUCTION: The coronavirus pandemic (COVID-19) has affected the functioning and capacity of healthcare systems worldwide. COVID-19 has also disproportionately affected older adults. In the context of COVID-19, decision-making surrounding place of care (PoC) and place of death (PoD) in older adults involves significant new challenges. AIMS: To explore key factors that influence PoC and PoD decisions in older adults. A secondary aim was to investigate key factors that influence the process and outcome of these decisions in older adults. To apply findings from current evidence to the context of COVID-19. METHODS: Rapid review of reviews, undertaken using WHO guidance for rapid reviews for the production of actionable evidence. Data extracted was synthesised using narrative synthesis, with thematic analysis and tabulation. RESULTS: 10 papers were included for full data extraction. These papers were published between 2005 and 2020. Papers included discussed actual PoD, as well as preferred. Results were divided into papers that explored the process of decision-making, and those that explored decision-making outcomes. CONCLUSIONS: The process and outcomes of decision-making for older people are affected by many factors—all of which have the potential to influence both patients and caregivers experience of illness and dying. Within the context of COVID-19, such decisions may have to be made rapidly and be reflexive to changing needs of systems and of families and patients. |
format | Online Article Text |
id | pubmed-7799338 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-77993382021-01-25 Rapid review of decision-making for place of care and death in older people: lessons for COVID-19 West, Emily Moore, Kirsten Kupeli, Nuriye Sampson, Elizabeth L Nair, Pushpa Aker, Narin Davies, Nathan Age Ageing Review INTRODUCTION: The coronavirus pandemic (COVID-19) has affected the functioning and capacity of healthcare systems worldwide. COVID-19 has also disproportionately affected older adults. In the context of COVID-19, decision-making surrounding place of care (PoC) and place of death (PoD) in older adults involves significant new challenges. AIMS: To explore key factors that influence PoC and PoD decisions in older adults. A secondary aim was to investigate key factors that influence the process and outcome of these decisions in older adults. To apply findings from current evidence to the context of COVID-19. METHODS: Rapid review of reviews, undertaken using WHO guidance for rapid reviews for the production of actionable evidence. Data extracted was synthesised using narrative synthesis, with thematic analysis and tabulation. RESULTS: 10 papers were included for full data extraction. These papers were published between 2005 and 2020. Papers included discussed actual PoD, as well as preferred. Results were divided into papers that explored the process of decision-making, and those that explored decision-making outcomes. CONCLUSIONS: The process and outcomes of decision-making for older people are affected by many factors—all of which have the potential to influence both patients and caregivers experience of illness and dying. Within the context of COVID-19, such decisions may have to be made rapidly and be reflexive to changing needs of systems and of families and patients. Oxford University Press 2020-12-18 /pmc/articles/PMC7799338/ /pubmed/33336701 http://dx.doi.org/10.1093/ageing/afaa289 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of the British Geriatrics Society. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review West, Emily Moore, Kirsten Kupeli, Nuriye Sampson, Elizabeth L Nair, Pushpa Aker, Narin Davies, Nathan Rapid review of decision-making for place of care and death in older people: lessons for COVID-19 |
title | Rapid review of decision-making for place of care and death in older people: lessons for COVID-19 |
title_full | Rapid review of decision-making for place of care and death in older people: lessons for COVID-19 |
title_fullStr | Rapid review of decision-making for place of care and death in older people: lessons for COVID-19 |
title_full_unstemmed | Rapid review of decision-making for place of care and death in older people: lessons for COVID-19 |
title_short | Rapid review of decision-making for place of care and death in older people: lessons for COVID-19 |
title_sort | rapid review of decision-making for place of care and death in older people: lessons for covid-19 |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7799338/ https://www.ncbi.nlm.nih.gov/pubmed/33336701 http://dx.doi.org/10.1093/ageing/afaa289 |
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