Death with dignity from the perspective of the surviving family: a survey study among family caregivers of deceased older adults.

Abstract:

BACKGROUND:Death with dignity has been identified as important both to patients and their surviving family. While research results have been published on what patients themselves believe may affect the dignity of their deaths, little is known about what family caregivers consider to be a dignified death. AIM:(1) To assess the prevalence of death with dignity in older adults from the perspective of family caregivers, (2) to determine factors that diminish dignity during the dying phase according to family caregivers, and (3) to identify physical, psychosocial, and care factors associated with death with dignity. DESIGN:A survey study with a self-administered questionnaire. PARTICIPANTS:Family caregivers of 163 deceased older (>55 years of age) adults ("patients") who had participated in the Longitudinal Aging Study Amsterdam. RESULTS:Of the family caregivers, 69% reported that their relative had died with dignity. Factors associated with a dignified death in a multivariate regression model were patients feeling peaceful and ready to die, absence of anxiety and depressive mood, presence of fatigue, and a clear explanation by the physician of treatment options during the final months of life. CONCLUSIONS:The physical and psychosocial condition of the patient in combination with care factors contributed to death with dignity from the perspective of the family caregiver. The patient's state of mind during the last phase of life and clear communication on the part of the physician both seem to be of particular importance.

journal_name

Palliat Med

journal_title

Palliative medicine

authors

van Gennip IE,Pasman HR,Kaspers PJ,Oosterveld-Vlug MG,Willems DL,Deeg DJ,Onwuteaka-Philipsen BD

doi

10.1177/0269216313483185

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

616-24

issue

7

eissn

0269-2163

issn

1477-030X

pii

0269216313483185

journal_volume

27

pub_type

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