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 Medjournal_title
Palliative medicineauthors
van Gennip IE,Pasman HR,Kaspers PJ,Oosterveld-Vlug MG,Willems DL,Deeg DJ,Onwuteaka-Philipsen BDdoi
10.1177/0269216313483185subject
Has Abstractpub_date
2013-07-01 00:00:00pages
616-24issue
7eissn
0269-2163issn
1477-030Xpii
0269216313483185journal_volume
27pub_type
杂志文章abstract::We investigated the impact of perception of socioeconomic burden on beliefs regarding a patient's autonomy in end-of-life (EOL) decision making. We also sought to identify the characteristics of individuals who advocate patient autonomy and their attitudes toward other EOL issues. A total of 1055 individuals from the ...
journal_title:Palliative medicine
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