Mortality of the Oldest-Old

Canudas-Romo, Vladimir; Lénárt, Ádám

doi:10.1016/b978-0-08-097086-8.31053-4

Cited by 1 publication

(2 citation statements)

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“…Within 1 year, approximately one-fifth of those who were caregivers at the beginning of the study ended their role due to the death of the care receiver, evidencing a high proportion of individuals experiencing bereavement. Due to the advanced age of care receivers who have a greater risk of mortality ( 12 ), this result could be somewhat expected.…”

Section: Discussionmentioning

confidence: 99%

“…Previous research reported that caregivers of oldest-old individuals tend to show higher levels of burden, lower self-perception of health, and weaker social support networks ( 7 ). The oldest old are at a greater risk of experiencing negative events such as falls ( 8 ), hospitalization ( 9 , 10 ), and death ( 11 , 12 ). The influence that such events may have on caregiving course, especially its impact on caregivers’ quality of life, reinforces the need of to be attentive to the dynamics of the caregiving trajectory ( 13 ).…”

Section: Introductionmentioning

confidence: 99%

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Transition to bereavement: A prospective longitudinal study of health-related quality of life in informal caregivers of oldest-old individuals

Alves

Paúl²,

Ribeiro³

2022

Front. Med.

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IntroductionExperiencing bereavement may be challenging. Despite the oldest-old population increase, a subgroup at greater risk of death, few studies focus on the grieving process of informal caregivers (ICs). This study analyzed the transition to bereavement of ICs of oldest-old individuals (≥80 years) over 1-year and compares the evolution of the health-related quality of life (HrQoL) between those experiencing bereavement and those who continued care through the study period.Materials and methodsA prospective longitudinal observational study was conducted enrolling 204 ICs of the Metropolitan Area of Porto (North Portugal), of which 36 experienced the death of care receiver (CR). ICs’ health profile and burden were assessed. CRs’ functional and cognitive status were also appraised.ResultsBereaving caregivers were mostly female, CRs’ children, and had on average 60.4 years at baseline. Caregivers spent a mean of 10.1 h/day (SD = 7.7) caring, for 80.6 months (SD = 57.5). The time elapsed since CR’s death was 6 months (SD = 3.5) from entering in the study. CRs who died had a mean age of 88.3 (SD = 5.4) years at baseline, and were very dependent. Over a 1-year follow-up, bereaving caregivers showed a significant decrease in mental health following CR’s death; on the other hand, caregivers who continued caring improved mental health [F(1, 159) = 4.249, p = 0.041].DiscussionEnding the caregiver career was marked by a decline in mental health whereas to continue caring was marked by an improvement in this outcome. While it is highly expected that the CR’s death will be perceived as a relief considering both the caregiver’s characteristics (e.g., medicines) and the CR condition (e.g., high dependence levels), the results suggest an opposite direction. CRs’ death seems to arise an emotional burden for IC, at least during the first year, possibly triggering feelings of loneliness and a life without purpose that seems to aggravate mental health issues.ConclusionThe transition to bereavement among ICs seems to lead to a caregiver mental health decline while those who continued caring (and thereby, experiencing caregiving stressors) seems to improve in this outcome. Ceasing caregiving stressors does not seem to contribute better experiencing bereavement among ICs, suggesting the need for support throughout this phase.

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Section: Discussionmentioning

confidence: 99%