Challenges of older adults when a loved one was dying: Implications for nursing practice

Sopcheck, Janet

doi:10.1016/j.apnr.2019.151198

Cited by 3 publications

(2 citation statements)

References 25 publications

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“…21 These signs can alert providers that more frequent conversations are needed, knowing that the resident and family member's end-of-life care decisions may change as EOL nears. 8 Family members may miss these signs 27,32 and NH providers who, as this study found, may have limited contact with residents may miss subtle signs. 21 An alternative approach for clinicians is asking themselves the surprise question, would you be surprised if this patient died in the next 12 months?…”

Section: Discussionmentioning

confidence: 82%

Communicating With Nursing Home Residents About End of Life

Sopcheck

Tappen

2021

Am J Hosp Palliat Care

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Approximately 33% of the 1.2 million older individuals residing in nursing homes have the capacity to discuss their preferences for end-of-life care, and 35% will die within their first year in the nursing home. These conversations necessary to promote care consistent with the resident’s preferences are often limited and most often occur when the resident is actively dying. The purpose of this secondary analysis was to understand the resident’s perspectives on end-of-life communication in the nursing home and suggest approaches to facilitate this communication. We interviewed 46 participants (16 residents, 10 family members, and 20 staff) in a Southeast Florida nursing home from January to May 2019. The data were analyzed using descriptive and pattern coding and matrices to decipher preliminary categories and thematic interpretation within and across each participant group. Two themes emerged from this secondary analysis that residents assume others know their end-of-life preferences, and past experiences may predict future end-of-life choices. Residents and family members were willing to discuss end-of-life care. Study findings also suggested that past experiences with the end-of-life and critical illness of another could impact residents’ and family members’ end-of-life care decisions, and that nurses’ recognition of subtle signs of a resident’s decline may trigger provider-initiated end-of-life conversations. Future research should focus on strategies to promote earlier end-of-life discussions to support independent decision-making about end-of-life care in this relatively dependent population of older adults.

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Section: Discussionmentioning

confidence: 82%

Communicating With Nursing Home Residents About End of Life

Sopcheck

Tappen

2021

Am J Hosp Palliat Care

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“…Sopcheck, 2019 (30) Explorar o desafio de perder um ente querido que foi hospitalizado no final da vida e identificar as abordagens consideradas mais úteis por familiares idosos para resolver esse desafio.…”

Section: Nível De Evidênciaunclassified

Assistência de enfermagem ao idoso hospitalizado no final da vida: revisão integrativa

Fhon

Sousa²,

Li³

et al. 2022

Rev. Eletr. Enferm.

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Objetivo: analisar e sintetizar o conhecimento já produzido quanto à assistência de enfermagem no final da vida em idosos hospitalizados. Método: Revisão integrativa da literatura realizada nas bases de dados PubMed, Cumulative Index to Nursing and Allied Health (CINAHL), Embase, Web of Science, Scopus e Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS). Os estudos abordavam cuidados paliativos em idosos publicados entre 2005-2021. Para sumarização e síntese das pesquisas foi utilizado o software Iramuteq (Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires). Resultados: 22 artigos foram selecionados, e após a análise foram categorizadas em: Suporte à família pelo profissional de enfermagem em cuidados paliativos; Formação e os impactos na assistência de enfermagem em cuidados paliativos; Ética na pesquisa envolvendo pacientes idosos em cuidados paliativos e seus familiares; Importância da comunicação efetiva em cuidados paliativos; e Declínio gradual de saúde em idosos e o manejo de sintomas pela enfermagem. Conclusão: a síntese auxiliou na compreensão da importância das evidências em cuidados paliativos e que a enfermagem faz parte deste processo no cuidado.

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Helpful Approaches for Older Adults Living in a Retirement Community to Move Forward After the Death of a Significant Other

Sopcheck

2020

Journal of Social Work in End-of-Life & Palliative Care

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Challenges of older adults when a loved one was dying: Implications for nursing practice

Cited by 3 publications

References 25 publications

Communicating With Nursing Home Residents About End of Life

Communicating With Nursing Home Residents About End of Life

Assistência de enfermagem ao idoso hospitalizado no final da vida: revisão integrativa

Helpful Approaches for Older Adults Living in a Retirement Community to Move Forward After the Death of a Significant Other

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