Preference for Place of Death and Related Factors of the Elderly in the Mediterranean Isle of Ibiza
Keywords:
Attention, palliative care, home care services, death
Abstract
Objective. To describe the preference for place of death among elderly people who consulted or were patients of some departments at a general hospital in the Baleares Islands (Spain) and potential relationship to other factors.
Methods. Descriptive cross-sectional trial developed at a health care clinic in Ibiza and Forment-era, from February through August 2009. Participants: 105 ≥ 65 years of age.
Results. The mean age was 75 ± 7 years old, 58 males (55.2 %). 67.6 % (95 % CI: 58.6-76.6) of the people surveyed said that their preferred death place was home; 6.7 % (95 % CI: 1.9-11.5) expressed their preference for acute care hospitals and 25.7 % (95 % C.I.: 17.3-34.1) preferred a hospital palliative care unit. Everyone chose quality palliative care versus euthanasia in the end-of-life stages.
Conclusions. Since home was the preferred death place for most of the elderly, this option seems to be basically influenced by family ties and a sense of belonging, the presence of some kind of substance addiction or a largely disabling disease. With regards to the latter, an in-hospital palliative care unit was preferred.
References
1. Kim A, Fall P, Wang D. Palliative care: optimizing quality of life. J Am Osteopath Assoc. 2005;105: S9-14.
2. Rabow MW, Hardie GE, Fair JM, et al. End-of-life care content in 50 textbooks from multiple specialties. JAMA. 2000;283:771-8.
3. Gibson CA, Lichtenthal W, Berg A, et al. Aspectos psicológicos de los cuidados paliativos. Anesthesiology Clin N Am. 2006;24:61-80.
4. Díez-Cascón González P, Sisó Almirall A. Atención urgente al paciente anciano en atención primaria. Rev Esp Geriatr Gerontol. 2009;44(Supl. 2):48-54.
5. Ramón I, Alonso J, Subirais E, et al. El lugar de fallecimiento de las personas ancianas en Cataluña. Rev Clin Esp. 2006;206:549-55.
6. Cohen J, Bilsen J, Fischer S, et al. End-of-life decision-making in Belgium, Denmark, Sweden and Switzerland: does place of death make a difference? J Epidemiol Community Health. 2007;61:1062-8.
7. Demme RA, Singer EA, Greenlaw J, et al. Aspectos éticos en los cuidados paliativos. Anesthesiology Clin N Am. 2006;24:129-44.
8. Gruenewald DA, White EJ. La experiencia de la enfermedad en los ancianos cerca del final de su vida: una revisión sistemática. Anesthesiology Clin N Am. 2006;24:163-80.
9. Fried TR, van Doorn C, OTeary JR, et al. Older persons' preferences for site of terminal care. Ann Intern Med. 1999;131:109-12.
10. Tang ST. Influencing factors of place of death among home care patients with cancer in Taiwan. Cancer Nurs. 2002;25:158-66.
11. Wachterman MW, Sommers BD. The impact of gender and marital status on end-of-life care: evidence from the National Mortality Follow-Back Survey. J Palliat Med. 2006;9:343-52.
12. Vig EK, Davenport NA, Pearlman RA. Good deaths, bad deaths, and preferences for the end of life: a qualitative study of geriatric outpatients. J Am Geriatr Soc. 2002;50:1541-8.
13. Gomes B, Higginson IJ. Factors influencing death at home in terminally ill patients with cancer: systematic review. BMJ. 2006;332:515-21.
14. Lin HC, Lin YJ, Liu TC, et al. Urbanization and place of death for the elderly: a 10-year population-based study. Palliat Med. 2007;21:705-11.
15. Cohen J, Bilsen J, Hooft P, et al. Dying at home or in an institution using death certificates to explore the factors associated with place of death. Health Policy. 2006;78:319-29.
16. Área de Salut d'Eivissa i Formentera, Memoria 2008, Servei de Salut de les Illes Balears, Govern de les Illes Balears, Conselleria de Salut i Consum.
17. Porta J, Gómez Batiste X, Tuca A. Manual: Control de síntomas en pacientes con cáncer avanzado y terminal. 2a ed. Madrid: Arán Ediciones; 2008. Cap. 16. Apéndice III: Instrumentos de evaluación. pp. 353-62.
18. Temkin-Greener H, Mukamel DB. Predicting place of death in the program of all-inclusive care for elderly (PACE): participant versus program characteristics. J Am Geriatr Soc. 2002;50:125-35.
19. Aabom B, Kragstrup J, Vondeling H, et al. Population-based study of place of death of patients with cancer: implications for GPs. Br J Gen Pract. 2005;55: 684-9.
20. Fried TR, van Doorn C, Tinetti ME, et al. Older persons' preferences for site of treatment in acute illness. J Gen Intern Med. 1998;13:522-7.
21. Fine PG, Davis M. Centros de cuidados paliativos: asistencia integral en la fase terminal. Anesthesiology Clin N Am. 2006;24:181-204.
22. Teno JM, Clarridge BR, Casey V, et al. Family perspectives on end-of-life care at the last place of care. JAMA. 2004;291:88-93.
23. Brazil K, Howell D, Bedard M, et al. Preferences for place of care and place of death among informal caregivers of the terminally ill. Palliat Med. 2005;19: 492-9.
2. Rabow MW, Hardie GE, Fair JM, et al. End-of-life care content in 50 textbooks from multiple specialties. JAMA. 2000;283:771-8.
3. Gibson CA, Lichtenthal W, Berg A, et al. Aspectos psicológicos de los cuidados paliativos. Anesthesiology Clin N Am. 2006;24:61-80.
4. Díez-Cascón González P, Sisó Almirall A. Atención urgente al paciente anciano en atención primaria. Rev Esp Geriatr Gerontol. 2009;44(Supl. 2):48-54.
5. Ramón I, Alonso J, Subirais E, et al. El lugar de fallecimiento de las personas ancianas en Cataluña. Rev Clin Esp. 2006;206:549-55.
6. Cohen J, Bilsen J, Fischer S, et al. End-of-life decision-making in Belgium, Denmark, Sweden and Switzerland: does place of death make a difference? J Epidemiol Community Health. 2007;61:1062-8.
7. Demme RA, Singer EA, Greenlaw J, et al. Aspectos éticos en los cuidados paliativos. Anesthesiology Clin N Am. 2006;24:129-44.
8. Gruenewald DA, White EJ. La experiencia de la enfermedad en los ancianos cerca del final de su vida: una revisión sistemática. Anesthesiology Clin N Am. 2006;24:163-80.
9. Fried TR, van Doorn C, OTeary JR, et al. Older persons' preferences for site of terminal care. Ann Intern Med. 1999;131:109-12.
10. Tang ST. Influencing factors of place of death among home care patients with cancer in Taiwan. Cancer Nurs. 2002;25:158-66.
11. Wachterman MW, Sommers BD. The impact of gender and marital status on end-of-life care: evidence from the National Mortality Follow-Back Survey. J Palliat Med. 2006;9:343-52.
12. Vig EK, Davenport NA, Pearlman RA. Good deaths, bad deaths, and preferences for the end of life: a qualitative study of geriatric outpatients. J Am Geriatr Soc. 2002;50:1541-8.
13. Gomes B, Higginson IJ. Factors influencing death at home in terminally ill patients with cancer: systematic review. BMJ. 2006;332:515-21.
14. Lin HC, Lin YJ, Liu TC, et al. Urbanization and place of death for the elderly: a 10-year population-based study. Palliat Med. 2007;21:705-11.
15. Cohen J, Bilsen J, Hooft P, et al. Dying at home or in an institution using death certificates to explore the factors associated with place of death. Health Policy. 2006;78:319-29.
16. Área de Salut d'Eivissa i Formentera, Memoria 2008, Servei de Salut de les Illes Balears, Govern de les Illes Balears, Conselleria de Salut i Consum.
17. Porta J, Gómez Batiste X, Tuca A. Manual: Control de síntomas en pacientes con cáncer avanzado y terminal. 2a ed. Madrid: Arán Ediciones; 2008. Cap. 16. Apéndice III: Instrumentos de evaluación. pp. 353-62.
18. Temkin-Greener H, Mukamel DB. Predicting place of death in the program of all-inclusive care for elderly (PACE): participant versus program characteristics. J Am Geriatr Soc. 2002;50:125-35.
19. Aabom B, Kragstrup J, Vondeling H, et al. Population-based study of place of death of patients with cancer: implications for GPs. Br J Gen Pract. 2005;55: 684-9.
20. Fried TR, van Doorn C, Tinetti ME, et al. Older persons' preferences for site of treatment in acute illness. J Gen Intern Med. 1998;13:522-7.
21. Fine PG, Davis M. Centros de cuidados paliativos: asistencia integral en la fase terminal. Anesthesiology Clin N Am. 2006;24:181-204.
22. Teno JM, Clarridge BR, Casey V, et al. Family perspectives on end-of-life care at the last place of care. JAMA. 2004;291:88-93.
23. Brazil K, Howell D, Bedard M, et al. Preferences for place of care and place of death among informal caregivers of the terminally ill. Palliat Med. 2005;19: 492-9.
How to Cite
1.
Cortés Pradilla H, Correa Ospina OL, Alonso-Babarro A. Preference for Place of Death and Related Factors of the Elderly in the Mediterranean Isle of Ibiza. Colomb. J. Anesthesiol. [Internet]. 2011 Apr. 1 [cited 2024 Apr. 19];39(2):174-88. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/747
Downloads
Download data is not yet available.
Published
2011-04-01
How to Cite
1.
Cortés Pradilla H, Correa Ospina OL, Alonso-Babarro A. Preference for Place of Death and Related Factors of the Elderly in the Mediterranean Isle of Ibiza. Colomb. J. Anesthesiol. [Internet]. 2011 Apr. 1 [cited 2024 Apr. 19];39(2):174-88. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/747
Issue
Section
Original
Altmetric
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
