Meaning and Practice of Palliative Care for Hospitalized Older Adults with Life Limiting Illnesses
Objective. To illustrate distinctions and intersections of palliative care (PC) and end-of-life (EOL) services through examples from case-centered data of older adults cared for during a four-year ethnographic study of an acute care hospital palliative care consultation service. Methods. Qualitative...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Journal of Aging Research |
| Online Access: | http://dx.doi.org/10.4061/2011/406164 |
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| _version_ | 1832549076884783104 |
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| author | Bethel Ann Powers Sally A. Norton Madeline H. Schmitt Timothy E. Quill Maureen Metzger |
| author_facet | Bethel Ann Powers Sally A. Norton Madeline H. Schmitt Timothy E. Quill Maureen Metzger |
| author_sort | Bethel Ann Powers |
| collection | DOAJ |
| description | Objective. To illustrate distinctions and intersections of palliative care (PC) and end-of-life (EOL) services through examples from case-centered data of older adults cared for during a four-year ethnographic study of an acute care hospital palliative care consultation service. Methods. Qualitative narrative and thematic analysis. Results. Description of four practice paradigms (EOL transitions, prognostic uncertainty, discharge planning, and patient/family values and preferences) and identification of the underlying structure and communication patterns of PC consultation services common to them. Conclusions. Consistent with reports by other researchers, study data support the need to move beyond equating PC with hospice or EOL care and the notion that EOL is a well-demarcated period of time before death. If professional health care providers assume that PC services are limited to assisting with and helping patients and families prepare for dying, they miss opportunities to provide care considered important to older individuals confronting life-limiting illnesses. |
| format | Article |
| id | doaj-art-1859cd0faab64c36b4af695062658c43 |
| institution | Kabale University |
| issn | 2090-2212 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Aging Research |
| spelling | doaj-art-1859cd0faab64c36b4af695062658c432025-02-03T06:12:17ZengWileyJournal of Aging Research2090-22122011-01-01201110.4061/2011/406164406164Meaning and Practice of Palliative Care for Hospitalized Older Adults with Life Limiting IllnessesBethel Ann Powers0Sally A. Norton1Madeline H. Schmitt2Timothy E. Quill3Maureen Metzger4School of Nursing, University of Rochester, 601 Elmwood Avenue, Box SON, Rochester, NY 14642, USASchool of Nursing, University of Rochester, 601 Elmwood Avenue, Box SON, Rochester, NY 14642, USASchool of Nursing, University of Rochester, 601 Elmwood Avenue, Box SON, Rochester, NY 14642, USASchool of Medicine and Dentistry, University of Rochester, 601 Elmwood Avenue, Box SON, Rochester, NY 14642, USASchool of Nursing, University of Rochester, 601 Elmwood Avenue, Box SON, Rochester, NY 14642, USAObjective. To illustrate distinctions and intersections of palliative care (PC) and end-of-life (EOL) services through examples from case-centered data of older adults cared for during a four-year ethnographic study of an acute care hospital palliative care consultation service. Methods. Qualitative narrative and thematic analysis. Results. Description of four practice paradigms (EOL transitions, prognostic uncertainty, discharge planning, and patient/family values and preferences) and identification of the underlying structure and communication patterns of PC consultation services common to them. Conclusions. Consistent with reports by other researchers, study data support the need to move beyond equating PC with hospice or EOL care and the notion that EOL is a well-demarcated period of time before death. If professional health care providers assume that PC services are limited to assisting with and helping patients and families prepare for dying, they miss opportunities to provide care considered important to older individuals confronting life-limiting illnesses.http://dx.doi.org/10.4061/2011/406164 |
| spellingShingle | Bethel Ann Powers Sally A. Norton Madeline H. Schmitt Timothy E. Quill Maureen Metzger Meaning and Practice of Palliative Care for Hospitalized Older Adults with Life Limiting Illnesses Journal of Aging Research |
| title | Meaning and Practice of Palliative Care for Hospitalized Older Adults with Life Limiting Illnesses |
| title_full | Meaning and Practice of Palliative Care for Hospitalized Older Adults with Life Limiting Illnesses |
| title_fullStr | Meaning and Practice of Palliative Care for Hospitalized Older Adults with Life Limiting Illnesses |
| title_full_unstemmed | Meaning and Practice of Palliative Care for Hospitalized Older Adults with Life Limiting Illnesses |
| title_short | Meaning and Practice of Palliative Care for Hospitalized Older Adults with Life Limiting Illnesses |
| title_sort | meaning and practice of palliative care for hospitalized older adults with life limiting illnesses |
| url | http://dx.doi.org/10.4061/2011/406164 |
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