Palliative care in old age

2006 ◽  
Vol 16 (1) ◽  
pp. 35-44 ◽  
Author(s):  
Raymond SK Lo ◽  
Jean Woo
Keyword(s):  
Palliative Care ◽  
Older People ◽  
Old Age ◽  
Physical Symptoms ◽  
Chronic Illnesses ◽  
List Type ◽  
Life Issues ◽  
Review Current ◽  
Care For Older People

With an aging population globally, and increasing numbers of older patients facing chronic illnesses, better palliative care in old age should be promoted.In this review we will Highlight the pressing need for better palliative care for older peopleAdvocate the concept of palliative care as applied to geriatrics and gerontologyReview current end-of-life care for older people with chronic disease, both non-cancer and cancerDiscuss the palliative-care approaches to common physical symptoms and psychospiritual distressHighlight advanced care planning and quality-of-life issues

scholarly journals Quality of primary palliative care for older people with mild and severe dementia: an international mortality follow-back study using quality indicators

2018 ◽  
Vol 47 (6) ◽  
pp. 824-833 ◽  
Author(s):  
Rose Miranda ◽  
Yolanda W H Penders ◽  
Tinne Smets ◽  
Luc Deliens ◽  
Guido Miccinesi ◽  
...  
Keyword(s):  
Palliative Care ◽  
Older People ◽  
Quality Indicators ◽  
Severe Dementia ◽  
Care For Older People

scholarly journals Primary palliative care for older people in three European countries: a mortality follow-back quality study

2019 ◽  
Vol 10 (4) ◽  
pp. 462-468 ◽  
Author(s):  
Kim de Nooijer ◽  
Lara Pivodic ◽  
Luc Deliens ◽  
Guido Miccinesi ◽  
Tomas Vega Alonso ◽  
...  
Keyword(s):  
Palliative Care ◽  
Older People ◽  
Patient Communication ◽  
European Countries ◽  
Epidemiological Surveillance ◽  
Palliative Care Services ◽  
Complex Health Problems ◽  
Almost All ◽  
Care For Older People

BackgroundMany older people with serious chronic illnesses experience complex health problems for which palliative care is indicated. We aimed to examine the quality of primary palliative care for people aged 65–84 years and those 85 years and older who died non-suddenly in three European countries.MethodsThis is a nationwide representative mortality follow-back study. General practitioners (GPs) belonging to epidemiological surveillance networks in Belgium (BE), Italy (IT) and Spain (ES) (2013–2015) registered weekly all deaths in their practices. We included deaths of people aged 65 and excluded sudden deaths judged by GPs. We applied a validated set of quality indicators.ResultsGPs registered 3496 deaths, of which 2329 were non-sudden (1126 aged 65–84, 1203 aged 85+). GPs in BE (reference category) reported higher scores than IT across almost all indicators. Differences with ES were not consistent. The score in BE particularly differed from IT on GP–patient communication (aged 65–84: 61% in BE vs 20% in IT (OR=0.12, 95% CI 0.07 to 0.20) aged 85+: 47% in BE vs 9% in IT (OR=0.09, 95% CI 0.05 to 0.16)). Between BE and ES, we identified a large difference in involvement of palliative care services (aged 65–84: 62% in BE vs 89% in ES (OR=4.81, 95% CI 2.41 to 9.61) aged 85+: 61% in BE vs 77% in ES (OR=3.1, 95% CI 1.71 to 5.53)).ConclusionsConsiderable country differences were identified in the quality of primary palliative care for older people. The data suggest room for improvement across all countries, particularly regarding pain measurement, GP–patient communication and multidisciplinary meetings.

scholarly journals Palliative care competencies for geriatricians across Europe: a Delphi consensus study

2021 ◽  
Author(s):  
Sophie Pautex ◽  
◽  
Regina Roller-Wirnsberger ◽  
Katrin Singler ◽  
Nele Van den Noortgate
Keyword(s):  
Palliative Care ◽  
Older People ◽  
Rating Scale ◽  
Geriatric Medicine ◽  
Delphi Consensus ◽  
Modified Delphi ◽  
Postgraduate Level ◽  
Modified Delphi Technique ◽  
Care For Older People

Abstract Purpose Integration of palliative care competencies with geriatric medicine is important for quality of care for older people, especially in the last years of their life. Therefore, knowledge and skills about palliative care for older people should be mandatory for geriatricians. The European Geriatric Medicine Society (EuGMS) has launched a postgraduate curriculum for geriatric medicine recently. Aim Based on this work, the Special Interest Group (SIG) on Palliative care in collaboration with the SIG in Education and Training aimed to develop a set of specific palliative care competencies to be recommended for training at a postgraduate level. Methods Competencies were defined using a modified Delphi technique based upon a Likert like rating scale. A template to kick off the first round and including 46 items was developed based on pre-existing competencies developed in Switzerland and Belgium. Results Three Delphi rounds were necessary to achieve full consensus. Experts came from 12 EU countries. In the first round, the wording of 13 competencies and the content of 10 competencies were modified. We deleted or merged ten competencies, mainly because they were not specific enough. At the end of the 2nd round, one competence was deleted and for three questions the wordings were modified. These modifications had the agreement of the participants during the last round. Conclusion A list of 35 palliative care competencies for geriatricians is now available for implementation in European countries.

scholarly journals Content in YouTube Videos for Rosacea: Cross-sectional Study (Preprint)

2020 ◽  
Author(s):  
Corey H Basch ◽  
Priscila E Laforet ◽  
Grace C Hillyer ◽  
Erica J Seidel ◽  
Christie Jaime
Keyword(s):  
Cross Sectional Study ◽  
Physical Symptoms ◽  
Medical Professionals ◽  
Cross Sectional ◽  
Internet News ◽  
Life Issues ◽  
Youtube Videos ◽  
Alternative Solutions ◽  
Cover Up

BACKGROUND Rosacea is an inflammatory skin disease that is chronic in nature. In addition to the physical symptoms, there are substantial quality of life issues that patients with rosacea experience, largely due to the visible nature in which rosacea manifests. OBJECTIVE The purpose of this study was to describe the content related to rosacea in highly viewed English- and Spanish-language videos on YouTube. METHODS We coded identifying information for each video and categories including characteristics of rosacea, clinical solutions, and alternative solutions. The 100 YouTube videos examined were viewed 18.5 million times between 2006 and 2020, and 57.3% (10,652,665/18,592,742) of these views were of consumer videos. RESULTS Videos posted by consumers more often promoted or were trying to sell a product or procedure (32/55, 58% of consumers vs 10/31, 32% of medical professionals and 4/14, 29% of television, internet, news, or entertainment sources; <i>P</i>=.03) and more frequently mentioned the use of makeup or other ways to cover up rosacea (30/55, 55% of consumers vs 6/31, 19% of medical professionals and 2/14, 14% of television, internet, news, or entertainment sources; <i>P</i>&lt;.001). Videos sourced from medical professionals more often mentioned medication (17/31, 55%) than videos uploaded by consumers (14/55, 25%) or TV, internet, news, or entertainment sources (3/14, 21%) (<i>P</i>=.01). CONCLUSIONS Given that rosacea is experienced differently for each person, consumer advice that works for one individual may not work for another. There is a need for reliable videos on rosacea to emphasize this and clarify misconceptions.

scholarly journals Content in YouTube Videos for Rosacea: Cross-sectional Study

10.2196/24517 ◽  
2021 ◽  
Vol 4 (1) ◽  
pp. e24517
Author(s):  
Corey H Basch ◽  
Priscila E Laforet ◽  
Grace C Hillyer ◽  
Erica J Seidel ◽  
Christie Jaime
Keyword(s):  
Cross Sectional Study ◽  
Physical Symptoms ◽  
Medical Professionals ◽  
Cross Sectional ◽  
Internet News ◽  
Life Issues ◽  
Youtube Videos ◽  
Alternative Solutions ◽  
Cover Up

Background Rosacea is an inflammatory skin disease that is chronic in nature. In addition to the physical symptoms, there are substantial quality of life issues that patients with rosacea experience, largely due to the visible nature in which rosacea manifests. Objective The purpose of this study was to describe the content related to rosacea in highly viewed English- and Spanish-language videos on YouTube. Methods We coded identifying information for each video and categories including characteristics of rosacea, clinical solutions, and alternative solutions. The 100 YouTube videos examined were viewed 18.5 million times between 2006 and 2020, and 57.3% (10,652,665/18,592,742) of these views were of consumer videos. Results Videos posted by consumers more often promoted or were trying to sell a product or procedure (32/55, 58% of consumers vs 10/31, 32% of medical professionals and 4/14, 29% of television, internet, news, or entertainment sources; P=.03) and more frequently mentioned the use of makeup or other ways to cover up rosacea (30/55, 55% of consumers vs 6/31, 19% of medical professionals and 2/14, 14% of television, internet, news, or entertainment sources; P<.001). Videos sourced from medical professionals more often mentioned medication (17/31, 55%) than videos uploaded by consumers (14/55, 25%) or TV, internet, news, or entertainment sources (3/14, 21%) (P=.01). Conclusions Given that rosacea is experienced differently for each person, consumer advice that works for one individual may not work for another. There is a need for reliable videos on rosacea to emphasize this and clarify misconceptions.

Interventions for improving palliative care for older people living in nursing care homes

2008 ◽  
Author(s):  
Sue Hall ◽  
Anna Kolliakou ◽  
Elizabeth A Davies ◽  
Katherine Froggatt ◽  
Irene J Higginson
Keyword(s):  
Palliative Care ◽  
Older People ◽  
Nursing Care ◽  
Care Homes ◽  
Care For Older People

The epidemiology of death and symptoms

2021 ◽  
pp. 55-68
Author(s):  
Davinia Seah ◽  
David Marco ◽  
Jennifer Philip ◽  
Megan B. Sands
Keyword(s):  
Palliative Care ◽  
Family Support ◽  
Old Age ◽  
Symptom Management ◽  
Epidemiological Studies ◽  
Chronic Illnesses ◽  
Care Planning ◽  
Incurable Illness ◽  
Relief Of Suffering ◽  
Disease Modifying

Despite the advances of medicine, many illnesses continue to evade cure. Chronic, progressive, incurable illness is a major cause of disability, distress, suffering, and, ultimately, death. This is true for many causes of cancer, AIDS, and other disorders of vital organs. Such progressive, chronic diseases are most common in late adulthood and old age, but they occur at all ages. Disease-modifying treatments and the relief of suffering through symptom management, care planning, and family support are central to care, and these four domains are core goals of palliative care. This chapter offers an overview of how epidemiological studies may be used to clarify the population/s of people who may benefit from palliative care, to assist the planning for how services may meet the needs of people towards the end of life. Symptoms associated with a series of common, progressive, chronic illnesses will be discussed, thereby further facilitating planning for individual patients and for services.

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