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language
eng
Author
Ono, Mitsumi Department of Community Health and Gerontological Nursing, Faculty of Medicine, Shimane University
Kanda, Hideyuki Department of Environmental Medicine and Public Health, Faculty of Medicine, Shimane University
Takeda, Yuko Department of Community Health and Gerontological Nursing, Faculty of Medicine, Shimane University
Hara, Sachiko Department of Community Health and Gerontological Nursing, Faculty of Medicine, Shimane University
Description
There are many deaths occurring among the aged population in Japan. Geriatric Health Service Facilities (GHSFs) are highlighted as some of the chosen facilities designated as sites of death. The aim of our study was to clarify the characteristics and related factors, including physical signs first noticed by staff at the end-of-life period, in GHSFs designated as sites of death, using a nationwide survey in Japan. We administered a questionnaire to 3971 GHSFs in Japan. Eligible responses for the study were obtained from 854 GHSFs. We found that GHSFs designated as sites of death were more likely to have basic policies and documented preferences regarding end-of-life care. We also found that staff members in GHSFs designated as sites of death were less likely to first notice physical signs of pain. We found that GHSFs designated as sites of death tended to identify earlier symptoms, such as reduced oral intake and less vigor. Our results would enable elderly persons, their families, and staff in GHSFs to prepare for the elderly’s death more efficiently though earlier identification of the end-of-life period. We hope that GHSFs have an important role to play in end-of-life care provision to elderly persons in Japan, through the strengthening of these intermediate facilities.
Subject
Geriatric Health Service Facility
End-of-Life Care
Basic Policy
Preference Documented
Physical Signs
Journal Title
Health
Volume
7
Start Page
1275
End Page
1282
ISSN
19494998
Published Date
2015-10
DOI
Publisher
Scientific Research Publishing
NII Type
Journal Article
Format
PDF
Rights
Copyright © 2015 by authors and Scientific Research Publishing Inc.
This work is licensed under the Creative Commons Attribution International License (CC BY).http://creativecommons.org/licenses/by/4.0/
Text Version
出版社版
Gyoseki ID
e28397
e29347
OAI-PMH Set
Faculty of Medicine
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