Pathways in end-of-life care for older people: care managers’ reasoning
| Autor: | Göran Lantz, Britt-Marie Ternestedt, Görel Hansebo, Jane Österlind |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Sweden
Advanced and Specialized Nursing Terminal Care Attitude to Death Attitude of Health Personnel business.industry Palliative Care Guidelines as Topic Middle Aged Interviews as Topic Geriatric Nursing Nursing Humans Medicine Female Nursing science Older people business End-of-life care Biomedical sciences |
| Zdroj: | International Journal of Palliative Nursing. 14:420-425 |
| ISSN: | 2052-286X 1357-6321 |
| DOI: | 10.12968/ijpn.2008.14.9.31122 |
| Popis: | Seven care managers employed by a large municipality in Sweden were interviewed concerning their reasoning regarding end-of-life care for older people. Data were analyzed using a hermeneutic approach. The results showed that end-of-life care was considered to constitute a small part of the care managers’ work and was something they did not focus on in general when assessing care needs. Two different pathways to death – the natural and the medical – were identified. In the natural pathway, death was invisible and the care was more routine-oriented. In the medical pathway, death was visualised and the care more individualised. Neither of the pathways paid attention to communication or existential needs. Thus, there is a need for a palliative pathway to death based on the philosophy of palliative care, which could provide guidance for care managers and promote opportunities for older people to achieve a dignified dying and death. |
| Databáze: | OpenAIRE |
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