دورية أكاديمية
The care of the very old in the last three days of life.
| العنوان: | The care of the very old in the last three days of life. |
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| المؤلفون: | Rashidi NM; Centre for Palliative Care, St. Vincent's Hospital & University of Melbourne, Fitzroy, Victoria, Australia., Zordan RD, Flynn E, Philip JA |
| المصدر: | Journal of palliative medicine [J Palliat Med] 2011 Dec; Vol. 14 (12), pp. 1339-44. |
| نوع المنشور: | Comparative Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Mary Ann Liebert, Inc Country of Publication: United States NLM ID: 9808462 Publication Model: Print Cited Medium: Internet ISSN: 1557-7740 (Electronic) Linking ISSN: 15577740 NLM ISO Abbreviation: J Palliat Med Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Larchmont, NY : Mary Ann Liebert, Inc., c1998- |
| مواضيع طبية MeSH: | Sickness Impact Profile*, Analgesics, Opioid/*administration & dosage , Anti-Anxiety Agents/*administration & dosage , Antipsychotic Agents/*administration & dosage , Palliative Care/*methods , Terminal Care/*methods, Age Factors ; Aged ; Aged, 80 and over ; Benzodiazepines/administration & dosage ; Female ; Humans ; Inpatients/statistics & numerical data ; Length of Stay/statistics & numerical data ; Male ; Medical Records ; Middle Aged ; Retrospective Studies ; Victoria |
| مستخلص: | Background: As life expectancy has increased, the age at which people are dying has also increased. There is limited knowledge of the experience of dying of the very old. We sought to examine the last 3 days of life for the very old, dying in a palliative care unit, focusing upon symptom burden and medications prescribed. Methods: A retrospective review of medical records of consecutive patients who died in two inpatient palliative care units. Information collated included demographic and medical information, symptom data, and medications (opioids, benzodiazepines and antipsychotics) administered. Analysis comparing patients aged 80 years and older (cases) and those in the median age range of the treating palliative care units, that is, those aged 50 to 70 years (comparators) were conducted. Results: One hundred five cases and 100 comparators were identified. Analysis revealed a significantly shorter length of stay in the cases (13 days) compared to comparators (19 days; p≤0.01).) In the last 3 days, cases received significantly less parenteral morphine equivalents (82.8 versus 170.5 mg, p<0.05), midazolam (12.1 versus 19.1 mg, p<0.05), and lorazepam equivalents (0.9 versus 2.4 mg, p<0.01). Overall, symptom profiles between the groups were similar. Implications: The very old appear to have a distinct experience of palliative inpatient care with shorter admissions, and lower requirements for medication. Reasons for lower medication requirements are discussed, and the need for future prospective studies in this area is highlighted. A better understanding of the needs of this population at end of life will enable adequate service planning and improved care. |
| المشرفين على المادة: | 0 (Analgesics, Opioid) 0 (Anti-Anxiety Agents) 0 (Antipsychotic Agents) 12794-10-4 (Benzodiazepines) |
| تواريخ الأحداث: | Date Created: 20111208 Date Completed: 20120419 Latest Revision: 20111207 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1089/jpm.2011.0308 |
| PMID: | 22145894 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1557-7740 |
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| DOI: | 10.1089/jpm.2011.0308 |