End-of-life priorities of older adults with terminal illness and caregivers: A qualitative consultation

Ebony T. Lewis, Reema Harrison, Laura Hanly, Alex Psirides, Alexandra Zammit, Kathryn McFarland, Angela Dawson, Ken Hillman, Margo Barr, Magnolia Cardona

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background
As older adults approach the end‐of‐life (EOL), many are faced with complex decisions including whether to use medical advances to prolong life. Limited information exists on the priorities of older adults at the EOL.

Objective
This study aimed to explore patient and family experiences and identify factors deemed important to quality EOL care.

Method
A descriptive qualitative study involving three focus group discussions (n = 18) and six in‐depth interviews with older adults suffering from either a terminal condition and/or caregivers were conducted in NSW, Australia. Data were analysed thematically.

Results
Seven major themes were identified as follows: quality as a priority, sense of control, life on hold, need for health system support, being at home, talking about death and competent and caring health professionals. An underpinning priority throughout the seven themes was knowing and adhering to patient's wishes.

Conclusion
Our study highlights that to better adhere to EOL patient's wishes a reorganization of care needs is required. The readiness of the health system to cater for this expectation is questionable as real choices may not be available in acute hospital settings. With an ageing population, a reorganization of care which influences the way we manage terminal patients is required.
LanguageEnglish
JournalHealth Expectations
Early online date6 Jan 2019
DOIs
Publication statusE-pub ahead of print - 6 Jan 2019

Fingerprint

Caregivers
Referral and Consultation
Health
Terminal Care
Focus Groups
Psychological Stress
Quality of Life
Interviews
Population

Funder Acknowledgement

This research was supported by the NHMRC Program funding scheme.

Cite this

Lewis, Ebony T. ; Harrison, Reema ; Hanly, Laura ; Psirides, Alex ; Zammit, Alexandra ; McFarland, Kathryn ; Dawson, Angela ; Hillman, Ken ; Barr, Margo ; Cardona, Magnolia. / End-of-life priorities of older adults with terminal illness and caregivers: A qualitative consultation. In: Health Expectations. 2019.
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Lewis, ET, Harrison, R, Hanly, L, Psirides, A, Zammit, A, McFarland, K, Dawson, A, Hillman, K, Barr, M & Cardona, M 2019, 'End-of-life priorities of older adults with terminal illness and caregivers: A qualitative consultation' Health Expectations. https://doi.org/10.1111/hex.12860

End-of-life priorities of older adults with terminal illness and caregivers: A qualitative consultation. / Lewis, Ebony T.; Harrison, Reema; Hanly, Laura; Psirides, Alex; Zammit, Alexandra; McFarland, Kathryn; Dawson, Angela; Hillman, Ken; Barr, Margo; Cardona, Magnolia.

In: Health Expectations, 06.01.2019.

Research output: Contribution to journalArticleResearchpeer-review

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