Trajectories of care home residents during the last month of life: the case of France
| Autor: | Sophie Pennec, Françoise Riou, Elisabeth Morand, Chantal Cases, Joëlle Gaymu, Régis Aubry, Silvia Pontone |
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| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Health (social science) Social Psychology business.industry Care homes Public Health Environmental and Occupational Health medicine.disease 03 medical and health sciences 0302 clinical medicine Arts and Humanities (miscellaneous) Nursing 030502 gerontology Family medicine medicine Dementia 030212 general & internal medicine Geriatrics and Gerontology 0305 other medical science business End-of-life care |
| Zdroj: | Ageing and Society. 37:325-351 |
| ISSN: | 1469-1779 0144-686X |
| DOI: | 10.1017/s0144686x15001117 |
| Popis: | 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 persons 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 persons 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. |
| Databáze: | OpenAIRE |
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