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Original Article
- Comparison of Consensus on Life-sustaining Treatment of the Elderly in Care Facilities and Family Member Dyad
- Sunmi Lim, Seong Ae Hong, Hyun Sook Lee
- Osong Public Health Res Perspect. 2015;6(2):126-132. Published online April 30, 2015
- DOI: https://doi.org/10.1016/j.phrp.2015.02.003
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- 4 Crossref
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Abstract
PDF - Objectives
The purpose of this study is to compare the agreement in opinion between the elderly in care facilities and their family members regarding the life-sustaining treatment at the deathbed and to find out if the intentions of the elderly are being properly reflected in their deathbed treatment.
Methods
Data were collected from 85 elderly individuals at five care facilities in Chunkcheongnam-do and 85 family members. The data were collected with a self-administered questionnaire from July 22, 2013 to August 15, 2014. A total of 170 cases were analyzed using SPSS version 21.
Results
First, the family members' preference for life-sustaining treatment was higher than the patients' preference. The preference between the elderly and their family members regarding life-sustaining treatment was statistically significant with regards to oral nutrition, pain control through oral and anal administration, pain control through intravenous administration, transfusion, and admission to an intensive care unit. Second, looking at the agreement between elderly and guardians regarding life-sustaining treatment, there was significant concordance about general testing, oral nutrition, intravenous hydration, intravenous nutrition, antibiotic treatment for severe infection with low resiliency, admission to an intensive care unit, blood pressure increase medication use, cardiopulmonary resuscitation, and tracheotomy.
Conclusion
It is essential for the medical staff to confirm agreement between the elderly and their family members regarding life-sustaining treatment, and if such a prior agreement is not feasible, the patient's intention should be considered more actionable than their family members. -
Citations
Citations to this article as recorded by
- Analysis of high-intensity care in intensive care units and its cost at the end of life among older people in South Korea between 2016 and 2019: a cross-sectional study of the health insurance review and assessment service national patient sample database
Yunji Lee, Minjeong Jo, Taehwa Kim, Kyoungsun Yun
BMJ Open.2021; 11(8): e049711. CrossRef - Effect of the Contents in Advance Directives on Individuals’ Decision-Making
Jae Yoon Park, Chi-Yeon Lim, Gloria Puurveen, Do Yeun Kim, Jae Hang Lee, Han Ho Do, Kyung Soo Kim, Kyung Don Yoo, Hyo Jin Kim, Yunmi Kim, Sung Joon Shin
OMEGA - Journal of Death and Dying.2020; 81(3): 436. CrossRef - Do medical oncology patients and their support persons agree about end‐of‐life issues?
Amy Waller, Alix Hall, Rob Sanson‐Fisher, Nicholas Zdenkowski, Charles Douglas, Justin Walsh
Internal Medicine Journal.2018; 48(1): 60. CrossRef - Preferences of older inpatients and their family caregivers for life-sustaining treatments in South Korea
Hyeyoung Hwang, Sook Ja Yang, Sarah Yeun-Sim Jeong
Geriatric Nursing.2018; 39(4): 428. CrossRef
- Analysis of high-intensity care in intensive care units and its cost at the end of life among older people in South Korea between 2016 and 2019: a cross-sectional study of the health insurance review and assessment service national patient sample database
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