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Challenges in the management of older patients with acute coronary syndromes in the covid-19 pandemic

ROWLAND, Ben ; KUNADIAN, Vijay
Heart, 22/05/2020, p. 1-6

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BiEnveNue Chez Les J'téS - lettre ouverte

TELINDIERE, Zazo de la
Opéra Editions , 2016 , 173 p.

Dépendance - le guide pratique

DUBREUIL, Anna
Editions Prat , 05/2020 , 166 p.

Les proches aidants ou des solidarités en action

ACTUALITE ET DOSSIER EN SANTE PUBLIQUE, Haut Conseil de la Santé Publique , 12/2019 , n°109, 64 p.

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Covid-19 pandemic - palliative care for elderly and frail patients at home and in residential and nursing homes

KUNZ, Roland ; MINDER, Markus
Swiss medical weekly, 24/03/2020, vol.150, p. 1-2

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Prescribing medications of questionable benefit prior to death - a retrospective study on older nursing home residents with and without dementia in Germany

RAUSCH, Christian ; HOFFMANN, Falk
European journal of clinical pharmacology, 26/03/2020, p. 1-9

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How psychosocial factors contribute to Japanese older adults’ initiation of advance care planning discussions - a qualitative study

MIYASHITA, Jun ; KOHNO, Ayako ; YAMAMOTO, Yosuke ; SHIMIZU, Sayaka ; AZUMA, Teruhisa ; TAKADA, Toshihiko ; HAYASHI, Michio ; FUKUHARA, Shunichi
Journal of applied gerontology, 31/03/2020, Pagination inconnue

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Evaluation of a collaborative advance care planning intervention among older adult home health patients and their caregivers

TAY, Djin L. ; ELLINGTON, Lee ; TOWSLEY, Gail L. ; SUPIANO, Katherine ; BERG, Cynthia A.
JOURNAL OF PALLIATIVE MEDICINE, 27/03/2020, Pagination inconnue

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Thème : Soins.

PROJET SOIN ANTICIPE ; PATIENT ; AIDANT ; COOPERATION ; PERSONNE AGEE

Background: Caregivers are decision stakeholders; yet, few interventions have been developed to help patients and caregivers collaborate on advance care planning (ACP).
Objective: To evaluate a theory-based ACP pilot intervention, Deciding Together, to improve decisional quality, readiness, collaboration, and concordance in ACP decisions for older adult home health (HH) patients and caregivers.
Design: A one-group, pre- and posttest study using matched questionnaires was conducted. The intervention consisted of a clinical vignette, theoretically guided conversation prompts, and a shared decision-making activity.
Setting/Subjects:N = 36 participants (n = 18 HH patients; n = 18 family and nonfamily caregivers) were purposively recruited from a HH agency to participate in the intervention at patients' homes.
Measurements: Demographic and baseline measures were collected for relationship quality, health status, and previous ACP engagement. Outcome measures included perceptions of collaboration, readiness for ACP, concordance in life-sustaining treatment preferences (cardiopulmonary resuscitation, antibiotics, artificial nutrition and hydration, and mechanical ventilation), and decisional conflict. Descriptive statistics, Cohen's coefficients, paired t tests, McNemar's tests, and Wilcoxon signed-rank tests (and effect size estimates, r = z/vN) were calculated using R-3.5.1 (p < 0.05). Single value imputation was used for missing values.
Results: While no significant differences were found for perceptions of collaboration, and readiness for ACP, patients (r = 0.38, p = 0.02) and caregivers (r = 0.38, p = 0.02) had reduced decisional conflict at posttest. Patients' and caregivers' agreement increased by 27.7% for an item assessing patients' preference for artificial nutrition and hydration (p = 0.03).
Conclusions: This study suggests that collaborative ACP decision making may improve decisional conflict for older adult HH patients and their caregivers.

Origine : DOI.org (Crossref

Helpful approaches for older adults living in a retirement community to move forward after the death of a significant other

SOPCHECK, Janet
Journal of social work in end-of-life and palliative care, 31/03/2020, p. 1-19

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Preferences for end-of-life care - a study protocol for a cross-sectional survey of Chinese frail elderly home residents in Hong Kong

YAN, Bo ; XU, Xinyi ; CHAU, Patsy PH ; TAKEMURA, Naomi ; CHEUNG, Derek YT ; CHAN, Felix HW ; LIN, Chia-Chin
BMJ Open, 03/2020, vol.10, n°3, p. 1-6

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Advance care plans and hospitalized frail older adults - a systematic review

HOPKINS, Sarah A ; BENTLEY, Allison ; PHILLIPS, Veronica ; BARCLAY, Stephen
BMJ supportive and palliative care, 02/04/2020, p. 1-11

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Elderly gynaecological cancer patients at risk for poor end of life care - a population-based study from the Swedish register of palliative care

LINDEMANN, K. ; MARTINSSON, L. ; KAASA, S. ; LINDQUIST, D.
Acta oncologica, 2020, vol.59, n°6, p. 636-643

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A mixed methods investigation of end-of-life surrogate decisions among older adults

BATTEUX, Eleonore ; FERGUSON, Eamonn ; TUNNEY, Richard J.
BMC palliative care, 2020, vol.19, n°1, p. 1-12

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Effects of brief nurse advance care planning intervention with visual materials on goal-of-care preference of Japanese elderly patients with chronic disease - a pilot randomized-controlled trial

KIZAWA, Yoshiyuki ; OKADA, Hiroko ; KAWAHARA, Takuya ; MORITA, Tatsuya
JOURNAL OF PALLIATIVE MEDICINE, 15/04/2020, Pagination inconnue

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Experiences and hidden needs of older patients, their families and their physicians in palliative chemotherapy decision-making - a qualitative study

TSUBOI, Rie ; SUGISHITA, Mihoko ; HIRAKAWA, Yoshihisa ; ANDO, Yuichi
Japanese journal of clinical oncology, 13/04/2020, Pagination inconnue

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Association between palliative care and end-of-life resource use for older adults hospitalized with septic shock

MALEY, Jason H ; WORSHAM, Christopher M ; LANDON, Bruce E ; STEVENS, Jennifer P.
Annals of the American Thoracic Society, 10/04/2020, Pagination inconnue

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General practitioners’ perceptions on the feasibility and acceptability of implementing a risk prediction checklist to support their end-of-life discussions in routine care - a qualitative study

LEWIS, Ebony T ; MAHIMBO, Abela ; LINHART, Christine ; WILLIAMSON, Margaret ; MORGAN, Mark ; HAMMILL, Kathrine ; HALL, John ; CARDONA, Magnolia
Family practice, 16/04/2020, Pagination inconnue

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Moving closer to death - understanding psychosocial distress among older veterans with advanced cancers

NEDJAT-HAIEM, Frances R. ; CADET, Tamara J. ; FERRAL, Alonzo J. ; KO, Eun Jeong ; THOMPSON, Beti ; MISHRA, Shiraz I.
Supportive care in cancer, 12/04/2020, Pagination inconnue

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Thème : Psychologie, psychanalyse.

DETRESSE PSYCHOLOGIQUE ; CANCER ; PERSONNE AGEE ; FIN VIE

Background: Early identification of psychosocial distress is important to address the needs of vulnerable populations and influence symptom management. Older veterans diagnosed with life-limiting cancers are particularly vulnerable because they often have unmet needs, experiencing psychological or emotional problems and gaps in healthcare communication, which extends suffering. Lack of emotional support, ongoing physical pain, and unresolved symptom control can further increase distress among older veterans, contributing to complexity of decision-making for end of life (EOL) care.
Objective: We explored older veterans’ experiences and identification of psychosocial distress in cancer care to better understand how they describe distress while facing the end of life.
Methods: Guiding this study is a conceptual framework from psychosocial oncology with the multifactorial experience of distress indicated by NCCN guidelines for distress screening. We use a phenomenological approach to explore the experience of psychosocial distress among older veterans diagnosed with advanced cancers at risk for dying within a year. Inclusion criteria: Provider response of “no” to, “Would you be surprised if your patient died within a year?” and “yes”, to the question, “Have you talked with your patient about the severity of their illness as being life-limiting, terminal?”
Results: Five themes emerged: (1) the meaning of distress: “It’s hard to explain”; (2) severity of advanced cancer: “There’s no stage five”; (3) distressing thoughts about the possibility of dying: “Either way, it’s life limiting”; (4) coping: “Deal with it and hope for a better day”; and (5) personal factors: “I don’t want to be anything but a man who can handle adversity.” Findings suggest older veterans may have unique cancer experiences different from other populations.
Conclusion: Older veterans in this study exhibited distressing symptoms which demonstrate they are at risk for declining health and in need of support for their distress. Healthcare providers are urged to understand the complexity of distress to provide the best possible treatment for older veterans.

Origine : DOI.org (Crossref

Older adult cancer patients under palliative care with a prognosis of 30 days or more - clinical and nutritional changes

VETTORI, Josiane C. ; DA SILVA, Luanda G. ; PFRIMER, Karina ; JORDAO JUNIOR, Alceu A. ; MORIGUTI, Júlio C. ; FERRIOLLI, Eduardo ; LIMA, Nereida K. C.
Journal of the American College of Nutrition, 10/04/2020, p. 1-7

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