scholarly journals Instruments for the functional assessment of elderly persons in palliative care: an integrative review

2018 ◽  
Vol 21 (5) ◽  
pp. 604-615 ◽  
Author(s):  
Vitória Marques de Sá Sanvezzo ◽  
Diego Santiago Montandon ◽  
Larissa Sapucaia Ferreira Esteves
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Elderly People ◽  
Functional Assessment ◽  
Functional Performance ◽  
Database Search ◽  
Integrative Review ◽  
Elderly Persons ◽  
Inclusion Criteria

Abstract Objective: to identify validated instruments that can be used for the functional assessment of elderly persons in Palliative Care. Method: an integrative review focused on identifying instruments for the functional assessment of elderly persons in palliative care was carried out by searching publications in periodicals indexed in seven electronic databases. Descriptors, keywords and Boolean operators were used for a cross-database search in November 2017. A total of 357 abstracts were identified, from which 53 articles were selected for reading, of which 21 met the inclusion criteria. Results: this strategy allowed the identification of eight scales and one test for the functional assessment of elderly persons in palliative care. Conclusion: eight scales and a functional test which also provide guidelines for improving the quality of life of elderly people in palliative care were identified, demonstrating that it is practically impossible to disassociate physical functional performance from social and psychological aspects.

scholarly journals Scientific production on housing for autonomous elderly persons: an integrative literature review

2017 ◽  
Vol 20 (5) ◽  
pp. 713-721 ◽  
Author(s):  
Roberta de Miranda Henriques Freire ◽  
Nivaldo Carneiro Junior
Keyword(s):  
Quality Of Life ◽  
Public Housing ◽  
Elderly People ◽  
The Elderly ◽  
Scientific Production ◽  
Elderly Persons ◽  
Housing Policies ◽  
Analysis Technique ◽  
Housing For The Elderly

Abstract Objective: To analyze Brazilian scientific production on housing for autonomous elderly persons. Method: A descriptive, analytical integrative review type study was carried out. The following guiding question was defined: what is the Brazilian scientific production relating to housing for autonomous elderly persons in indexed on-line periodicals from 2000 to 2015? Results: Thirty-three articles were identified in total, of which only 13 met the inclusion criterion. Using the Content Analysis technique, the following categories were formed: Modalities of housing for the elderly; Public housing policies for the elderly and Housing and quality of life. Conclusion: Most of the studies discussed types of housing for the elderly, falling into the category "Modalities of housing for the elderly", and identifying a tendency towards one-person dwellings. In relation to the category "Public housing policies for the elderly", the articles reflected on the rights and the guarantees of the elderly in relation to a suitable home. The "Housing and quality of life" category aimed to compare the quality of life of elderly people living alone or with a partner, as well as their perception of exclusive condominium developments for this population. There is a need for research on the issue in question, since there is an increase in the number of elderly people without housing, making it necessary for the state to meet this demand.

scholarly journals Dignity-conserving care for persons with palliative care needs — identifying outcomes studied in research: An integrative review

2020 ◽  
Vol 18 (6) ◽  
pp. 722-740 ◽  
Author(s):  
Annika Söderman ◽  
Ulrika Östlund ◽  
Carina Werkander Harstäde ◽  
Karin Blomberg
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Integrative Review ◽  
Future Research ◽  
Healthcare Organizations ◽  
Care Needs ◽  
Study Protocols ◽  
The Social ◽  
Palliative Care Needs

AbstractObjectivesWith people living longer, palliative care may be required for lengthier periods of time. This puts demands on healthcare organizations to provide optimal palliative care. Maintaining dignity is central for any person's health and quality of life, but especially for a person with palliative care needs. Dignity-conserving care needs to be evaluated to increase knowledge about outcomes and how to assess these. The purpose of this integrative review was to identify outcomes studied within dignity-conserving care and how these have been operationalized.MethodsAn integrative review was conducted in 26 quantitative or mixed-method studies and study protocols. Thematic synthesis with an abductive approach was used for analysis.ResultsSeven themes of studied outcomes were identified, as well as four cluster themes: themes related to Illness-Related Concerns, themes related to the Dignity-Conserving Repertoire, themes related to the Social Dignity Inventory, and themes regarding Overarching Dignity Issues. Most outcomes studied dealt with Illness-Related Concerns within the themes of “Performance, symptoms and emotional concerns” and “End-of-life and existential aspects”. Themes linked to the Social Dignity Inventory had the lowest number of outcomes studied. Outcomes regarding overarching dignity issues such as “Dignity-related distress” and “Quality of life” were common. However, the results lacked concrete communication outcomes.Significance of resultsThe results will underpin future research in which dignity-conserving care is implemented and evaluated, and contribute to the provision of evidence-based palliative care. A greater focus on outcomes within cluster themes related to the Dignity-Conserving Repertoire and the Social Dignity Inventory is needed, as is more focus on communication outcomes.

scholarly journals REHABILITATION IN PALLIATIVE CARE

2016 ◽  
Vol 25 (3) ◽  
Author(s):  
Jéssica Sponton Moura Minosso ◽  
Luciene Jacinto de Souza ◽  
Maria Amélia de Campos Oliveira
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Functional Status ◽  
Functional Decline ◽  
Integrative Review ◽  
Functional Rehabilitation ◽  
Research Designs

ABSTRACT: The objective of this study was to describe the activities and effects of functional rehabilitation in patients receiving palliative care. It is an integrative review, in which LILACS, BDENF, Coleciona SUS (Brazil) and PUBMED were used, 20 articles were selected, subsequently characterized as having designs of medium and low impact, more than half ranked with evidence levels II, III and IV and with samples not always consistent with the research designs. However, the results revealed the potential of rehabilitation to improve the functional status, quality of life and symptoms like pain and anxiety in this population, through interventions that are many times undervalued in palliative care. The conclusion is that rehabilitation is a feasible strategy to combat functional decline and improve the quality of life of patients in palliative care.

scholarly journals Evaluation of quality of life in a palliative care context: an integrative literature review

2012 ◽  
Vol 20 (2) ◽  
pp. 401-410 ◽  
Author(s):  
Fernanda Ribeiro Correia ◽  
Marysia Mara Rodrigues do Prado De Carlo
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Literature Review ◽  
Psychometric Properties ◽  
Inclusion Criteria ◽  
Appropriate Care ◽  
Different Cultures

The use of scales that have been validated and standardized for different cultures is very useful for identifying demands in the field of Palliative Care and implementing the most appropriate care. This integrative literature review focuses on instruments assessing the Quality of Life of patients under Palliative Care through a journal search in electronic databases. The study consisted of 49 papers identified in Medline/PubMed, of which 18 met the inclusion criteria previously defined. Information concerning the selected studies is presented and later categorized, with a greater emphasis on the analysis of the psychometric properties of validations of the Palliative Outcome Scale, conducted in three countries. This review enabled the identification of instruments already developed and validated for different cultures, increasing the possibility of knowledge in the field.

scholarly journals Influence of Sexuality on the Health of the Elderly in Process of Dementia: Integrative Review

Aquichan ◽  
2020 ◽  
Vol 20 (1) ◽  
pp. 1-13
Author(s):  
Edison Vitório de Souza Júnior ◽  
Cristiane dos Santos Silva ◽  
Poliana Souza Lapa ◽  
Laís Emily Souza Trindade ◽  
Benedito Fernandes da Silva Filho ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Web Of Science ◽  
The Elderly ◽  
Health Science ◽  
Integrative Review ◽  
Inclusion Criteria ◽  
Medical Subject Headings ◽  
Beneficial Effects ◽  
Perception Of Quality

Objective: this work sought to inquire on the influence of sexuality on the health of the elderly during dementia. Materials and Methods: this was an integrative review. A careful search was conducted in nine databases; however, only five databases provided articles fulfilling the scope of the study: Medline, Lilacs, BDENF, Scopus, and Web of Science (WoS). The health science descriptors (DeCS) were adopted: “sexualidad”, “demencia” and “anciano”, and the descriptors cataloged in the Medical Subject Headings (MeSH): “sexuality”, “dementia” and “aged”. After applying the inclusion criteria, eight articles were selected to comprise the study sample. Results: the practice of sexuality influences upon the health of the elderly with dementia with some beneficial effects, given that it provides, especially, better perception of quality of life and wellbeing. Nevertheless, it cannot be generalized due to methodological insufficiency evidenced in the studies found to construct this review. Conclusions: due to the limitation of studies addressing the theme and the methodological insufficiency of those included in this review, it is necessary to conduct research that shows in depth the influence of sexuality on this population, given that it can be constituted as another approach for the promotion and protection of health in the elderly with dementia.

scholarly journals Quality of Life in Patients Rehabilitated with Implant-Supported Prostheses – A Systematic Review

2021 ◽  
Vol 26 (3) ◽  
pp. 1-5
Author(s):  
Cosmin Ionuţ Lixandru ◽  
Carmen Daniela Domnariu
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Pain Perception ◽  
Functional Performance ◽  
Daily Life ◽  
Systematic Search ◽  
Inclusion Criteria ◽  
Daily Lives ◽  
The Impact

Abstract Oral health-related quality of life can be defined as the perception of the impact that oral health has on the quality of life. The quality of life is characterized by a person’s perception of his/her social status and the activities he/she carries out in daily life, in relation to his/her standards, objectives, concerns and expectations, as well as the system of values and cultural conditions within he/she lives in. Objective: The objective of this study was to systematically review the dental literature to identify and classify relevant articles on the quality of life associated with the oral health of patients rehabilitated with implant-supported prostheses. Materials and methods: A systematic search of the literature on PubMed was performed for articles published between 2000 and 2021. The main method used was the electronic search using keywords such as: “quality of life”, “dental implant”. The articles found were subject to inclusion and exclusion criteria. Results: Following a systematic search, a total of 249 publications were identified, of which only 9 met the inclusion criteria. Discussions: A small number of studies were found to meet the inclusion criteria and to present high levels of evidence. Therefore, more research in the field is recommended, as current research on quality of life in patients rehabilitated with implant-supported prostheses is still in the development phase. Conclusions: The quality of oral health could have an impact on patients’ daily lives and dental satisfaction (satisfaction with dental appearance, pain perception levels, oral comfort, functional performance and chewing capacity). Patients’ satisfaction with their dentition has a definite impact on the quality of daily life and perceptions of oral health.

scholarly journals The use of Quality-Adjusted Life Years in cost-effectiveness analyses in palliative care: Mapping the debate through an integrative review

2017 ◽  
Vol 31 (4) ◽  
pp. 306-322 ◽  
Author(s):  
Anne B Wichmann ◽  
Eddy MM Adang ◽  
Peep FM Stalmeier ◽  
Sinta Kristanti ◽  
Lieve Van den Block ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Cost Effectiveness ◽  
Quality Adjusted Life Year ◽  
Integrative Review ◽  
Quality Adjusted Life Years ◽  
Life Years ◽  
Pros And Cons ◽  
Quality Adjusted Life

Background: In cost-effectiveness analyses in healthcare, Quality-Adjusted Life Years are often used as outcome measure of effectiveness. However, there is an ongoing debate concerning the appropriateness of its use for decision-making in palliative care. Aim: To systematically map pros and cons of using the Quality-Adjusted Life Year to inform decisions on resource allocation among palliative care interventions, as brought forward in the debate, and to discuss the Quality-Adjusted Life Year’s value for palliative care. Design: The integrative review method of Whittemore and Knafl was followed. Theoretical arguments and empirical findings were mapped. Data sources: A literature search was conducted in PubMed, EMBASE, and CINAHL, in which MeSH (Medical Subject Headings) terms were Palliative Care, Cost-Benefit Analysis, Quality of Life, and Quality-Adjusted Life Years. Findings: Three themes regarding the pros and cons were identified: (1) restrictions in life years gained, (2) conceptualization of quality of life and its measurement, including suggestions to adapt this, and (3) valuation and additivity of time, referring to changing valuation of time. The debate is recognized in empirical studies, but alternatives not yet applied. Conclusion: The Quality-Adjusted Life Year might be more valuable for palliative care if specific issues are taken into account. Despite restrictions in life years gained, Quality-Adjusted Life Years can be achieved in palliative care. However, in measuring quality of life, we recommend to—in addition to the EQ-5D— make use of quality of life or capability instruments specifically for palliative care. Also, we suggest exploring the possibility of integrating valuation of time in a non-linear way in the Quality-Adjusted Life Year.

An Integrative Review of the Role of Palliative Care in Lung Transplantation

2020 ◽  
Vol 30 (2) ◽  
pp. 147-154
Author(s):  
Patricia C. Pawlow ◽  
Caroline L. Doherty ◽  
Nancy P. Blumenthal ◽  
Lea Ann Matura ◽  
Jason D. Christie ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Lung Transplantation ◽  
Symptom Management ◽  
Lung Transplant ◽  
Integrative Review ◽  
Care Needs ◽  
Transplant Patients ◽  
Palliative Care Needs

Background: Lung transplant patients experience significant physical symptoms and psychological stress that affect their quality of life. Palliative care is an interdisciplinary specialty associated with improved symptom management and enhanced quality of life. Little, however, is known about the palliative care needs of lung transplant patients and the role it plays in their care. Aim: The aim of this integrative review was to synthesize the literature describing the palliative care needs, the current role, and factors influencing the integration of palliative care in the care of lung transplant patients. Design/Data Sources: We searched PubMed, Scopus, CINAHL, and Embase to identify English-language, primary studies focused on palliative care in adult lung transplantation. Study quality was evaluated using Strengthening the Report of Observational studies in Epidemiology and Consolidated Criteria for Reporting Qualitative Research criteria. Results: Seven articles were included in the review. Most were single-center, descriptive studies. Two studies used qualitative and 5 used quantitative methodologies. Collectively, these studies suggest that palliative care is typically consulted for physical and psychological symptom management, although consultation is uncommon and often occurs late in the lung transplant process. We found no studies that systematically assessed palliative needs. Misperceptions about palliative care, communication challenges, and unrealistic patient/family expectations are identified barriers to the integration. While limited, evidence suggests that palliative care can be successfully integrated into lung transplant patient management. Conclusions: Empirical literature about palliative care in lung transplantation is sparse. Further research is needed to define the needs and opportunities for integration into the care of these patients.

scholarly journals Quality of life of elderly persons in Manaus measured by the Flanagan Scale

2018 ◽  
Vol 21 (4) ◽  
pp. 480-487
Author(s):  
Esmeraldino Monteiro de Figueiredo Neto ◽  
José Eduardo Corrente
Keyword(s):  
Quality Of Life ◽  
Elderly People ◽  
Low Socioeconomic Status ◽  
Low Income ◽  
Elderly Care ◽  
Developed Countries ◽  
Elderly Persons ◽  
Low Socioeconomic ◽  
Quality Of Life Scale

Abstract Objective: the aim of the present study was to evaluate the quality of life of elderly people enrolled in specialized elderly care centers in Manaus and compare the findings with the results of already published studies. Method: a cross-sectional study was conducted with 741 elderly people enrolled in three of the centers in the city, from November 2015 to March 2017 using a socioeconomic and demographic questionnaire and the Flanagan Quality of Life Scale (FQLS). Interviews were carried out by previously trained physiotherapy students of the Federal University of Amazonas. Results: the majority of the elderly were female, with a mean age of 69±6.6 years, married, retired but still working, with a low income and low educational level. When they assessed their quality of life, however, they appeared satisfied. When compared to populations in other countries and regions of Brazil, despite their low socioeconomic profile, they demonstrated a higher quality of life than populations of developed countries. Some domains of the scale were inverted in relation to the original scale. Conclusion: the results allow us to conclude that even elderly persons with low socioeconomic status are satisfied with their quality of life.

Sign in / Sign up

Export Citation Format

Share Document