What degree of medical treatment do nursing home residents want in case of life-threatening disease?

Abstract:

AIM:to examine the degree of medical treatment wanted by nursing home residents, their relatives and staff members should the resident develop a serious and life-threatening disease and to analyse the degree of agreement between the wishes of these parties. DESIGN:an epidemiological, descriptive cross-sectional study. MATERIAL AND METHODS:the study population consisted of 101 competent and 106 incompetent residents from 16 nursing homes; 142 relatives and 207 staff members were also interviewed. A hypothetical disease story was presented to residents, relatives and staff members and their choices classified into four groups according to degree of treatment. RESULTS:direct comparisons for the individual resident showed the greatest degree of disagreement whether to accept or refuse referral to hospital between relatives incompetent residents and staff members, in that the preference for curative treatment was significantly more frequent among the relatives. CONCLUSIONS:nursing home staff should try to discuss with relatives of incompetent residents their preferences for treatment in case the resident develops a serious disease before an acute situation arises.

journal_name

Age Ageing

journal_title

Age and ageing

authors

Moe C,Schroll M

doi

10.1093/ageing/26.2.133

subject

Has Abstract

pub_date

1997-03-01 00:00:00

pages

133-7

issue

2

eissn

0002-0729

issn

1468-2834

journal_volume

26

pub_type

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