Results for ' older patient'

988 found
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  1.  32
    Older patients’ autonomy when cared for at emergency departments.Catharina Frank, Mats Holmberg, Elin Ekestubbe Jernby, Annika Sevandersson Hansen & Anders Bremer - 2022 - Nursing Ethics 29 (5):1266-1279.
    Background Older patients in emergency care often have complex needs and may have limited ability to make their voices heard. Hence, there are ethical challenges for healthcare professionals in establishing a trustful relationship to determine the patient’s preferences and then decide and act based on these preferences. With this comes further challenges regarding how the patient’s autonomy can be protected and promoted. Aim To describe nurses’ experiences of dealing with older patients’ autonomy when cared for in (...)
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  2.  29
    Ambulance clinicians’ understanding of older patients’ self-determination: A vignette study.Anna Bennesved, Anders Bremer, Anders Svensson, Andreas Rantala & Mats Holmberg - 2024 - Nursing Ethics 31 (2-3):342-354.
    Background Older patients are often vulnerable and highly dependent on healthcare professionals’ assessment in the event of acute illness. In the context of ambulance services, this poses challenges as the assessment is normally conducted with a focus on identifying life-threatening conditions. Such assessment is not fully satisfactory in a patient relationship that also aims to promote and protect patient autonomy. Aim To describe ambulance clinicians’ understanding of older patients’ self-determination when the patient’s decision-making ability is (...)
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  3.  20
    Older patients’ perspectives on illness and healthcare during the early phase of the COVID-19 pandemic.Nina Jøranson, Anne Kari Tolo Heggestad, Hilde Lausund, Grete Breievne, Vigdis Bruun-Olsen, Kristi Elisabeth Heiberg, Marius Myrstad & Anette Hylen Ranhoff - 2022 - Nursing Ethics 29 (4):872-884.
    Background Equal access to healthcare is a core principle in Norway’s public healthcare system. The COVID-19 pandemic challenged healthcare systems in the early phase – in particular, related to testing and hospital capacity. There is little knowledge on how older people experienced being infected with an unfamiliar and severe disease, and how they experienced the need for healthcare early in the pandemic Aim To explore the experiences of older people infected by COVID-19 and their need for testing and (...)
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  4.  19
    Caring for older patients with reduced decision-making capacity: a deductive exploratory study of ambulance clinicians’ ethical competence.Bodil Holmberg, Anna Bennesved & Anders Bremer - 2023 - BMC Medical Ethics 24 (1):1-12.
    Background As more people are living longer, they become frail and are affected by multi-morbidity, resulting in increased demands from the ambulance service. Being vulnerable, older patients may have reduced decision-making capacity, despite still wanting to be involved in decision-making about their care. Their needs may be complex and difficult to assess, and do not always correspond with ambulance assessment protocols. When needing an ambulance, older patients encounter ambulance clinicians who are under high workloads and primarily consider themselves (...)
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  5.  42
    Dignity from the nurses’ and older patients’ perspective: A qualitative literature review.Šárka Šaňáková & Juraj Čáp - 2019 - Nursing Ethics 26 (5):1292-1309.
    Introduction: Dignity is one of the most important values sensitively perceived by patients in nursing care. Older patients have been identified as having a high risk of losing their dignity in institutional care. To promote optimum nursing care, a deeper insight into the problem of older patients’ dignity is needed. Aim: The aim was to identify, analyse and synthesise the qualitative evidence of dignity views and factors affecting it from the nurses’ and older patients’ perspective in the (...)
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  6.  20
    Ageism and moral distress in nurses caring for older patients.Mihaela Alexandra Gherman, Laura Arhiri & Andrei Corneliu Holman - 2023 - Ethics and Behavior 33 (4):322-338.
    This study explored the influence of healthcare ageism on nurses’ moral distress. Episodic interviews were conducted on 25 Romanian nurses in 2020. Thematic analysis revealed that all moral distress sources reported reflected macro-, meso- and micro-level ageism, benevolent and hostile, self- or other-directed, including stereotyping, prejudice, and discrimination of older patients. The COVID-19 pandemic-related ageist measures increased healthcare ageism and transformed nurses’ representations of older patients accordingly. Nurses felt moral conflict both when passively witnessing ageist acts and when (...)
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  7.  18
    Comparison of Thai older patients’ wishes and nurses’ perceptions regarding end-of-life care.Manchumad Manjavong, Varalak Srinonprasert, Panita Limpawattana, Jarin Chindaprasirt, Srivieng Pairojkul, Thunchanok Kuichanuan, Sawadee Kaiyakit, Thitikorn Juntararuangtong, Kongpob Yongrattanakit, Jiraporn Pimporm & Jinda Thongkoo - 2019 - Nursing Ethics 26 (7-8):2006-2015.
    Background: Achieving a “good death” is a major goal of palliative care. Nurses play a key role in the end-of-life care of older patients. Understanding the perceptions of both older patients and nurses in this area could help improve care during this period. Objectives: To examine and compare the preferences and perceptions of older patients and nurses with regard to what they feel constitutes a “good death.” Research design: A cross-sectional study. Participants and research context: This study (...)
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  8.  44
    Assessing Rehabilitation Eligibility of Older Patients: An Ethical Analysis of the Impact of Bias.Josephine Najem, Priscilla Lam Wai Shun, Maude Laliberté & Vardit Ravitsky - 2018 - Kennedy Institute of Ethics Journal 28 (1):49-84.
    With the world's population aging, hospitals are facing pressure to adequately meet the needs of a growing number of frail older patients. For this population, comorbidities combined with a limited ability to face stressful situations contribute to frailty whereby a small injury or illness can lead to significant loss of function. It is widely recognized that hospitalized older patients are more vulnerable to physical or cognitive functional decline and require increased assistance in activities of daily living (Creditor 1993; (...)
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  9.  38
    Anaesthesia Care of Older Patients as Experienced by Nurse Anaesthetists.Annika Larsson Mauleon, Liisa Palo-Bengtsson & Sirkka-Liisa Ekman - 2005 - Nursing Ethics 12 (3):263-272.
    This article analyses problem situations in the context of anaesthesia care. It considers what it means for nurse anaesthetists to be in problematic situations in the anaesthesia care of older patients. Benner’s interpretive phenomenological approach proved useful for this purpose. Paradigm cases are used to aid the analysis of individual nurses’ experiences. Thirty narrated problematic anaesthesia care situations derived from seven interviews were studied. These show that experienced nurse anaesthetists perceive anaesthesia care as problematic and highly demanding when involving (...)
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  10.  19
    Transplantation for Older Patients with Hematologic Malignancies in 2021: Uncertainty and Ethics in Decision-Making.H. Joachim Deeg - 2021 - Ethics in Biology, Engineering and Medicine 12 (1):15-20.
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  11.  29
    To what extent should older patients be included in decisions regarding their resuscitation status?J. Wilson - 2008 - Journal of Medical Ethics 34 (5):353-356.
    As medical technology continues to advance and we develop the expertise to keep people alive in states undreamt of even 20 years ago, there is increasing interest in the ethics of providing, or declining to provide, life-sustaining treatment. One such issue, highly contentious in clinical practice as well as in the media (and, through them, the public), is the use of do-not-attempt-resuscitation orders. The main group of patients affected by these orders is older people. This article explores some of (...)
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  12.  31
    Asking the right questions: towards a person-centered conception of shared decision-making regarding treatment of advanced chronic kidney disease in older patients.Johannes J. M. van Delden, Willem Jan W. Bos, Anne M. Stiggelbout & Wouter R. Verberne - 2022 - BMC Medical Ethics 23 (1):1-8.
    An increasing number of older patients have to decide on a treatment plan for advanced chronic kidney disease, involving dialysis or conservative care. Shared decision-making is recommended as the model for decision-making in such preference-sensitive decisions. The aim of SDM is to come to decisions that are consistent with the patient’s values and preferences and made by the patient and healthcare professional working together. In clinical practice, however, SDM appears to be not yet routine and needs further (...)
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  13.  6
    “I Do Not Believe We Should Disclose Everything to an Older Patient”: Challenges and Ethical Concerns in Clinical Decision-Making in Old-Age Care in Ethiopia.Kirubel Manyazewal Mussie, Mirgissa Kaba, Jenny Setchell & Bernice Simone Elger - 2024 - Health Care Analysis 32 (4):290-311.
    Clinical decision-making in old-age care is a complex and ethically sensitive process. Despite its importance, research addressing the challenges of clinical decision-making in old-age care within this cultural context is limited. This study aimed to explore the challenges and ethical concerns in clinical decision-making in old-age care in Ethiopia. This qualitative study employed an inductive approach with data collected via semi-structured interviews with 20 older patients and 26 health professionals recruited from healthcare facilities in Ethiopia. Data were analysed using (...)
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  14.  13
    Understanding the Underlying Causes of Tensions That Arise in ICU Care for Older Patients.George Agich, Michael Dunn, Michael Gusmano & Shahla Siddiqui - 2023 - Journal of Clinical Ethics 34 (2):148-157.
    Objective: We hypothesized that the reasons behind this tension are complex and can be understood better by applying social psychology theory.Design: A qualitative methodology was drawn on for data collection and thematic analysis, with focus group discussions adopted for interviews with patient families and ICU physicians. Additionally, we used a social psychology theory, the reasoned action approach (RAA) framework, to understand these tensions.Setting: Two 15-bedded ICUs of an academic university–affiliated teaching hospital in Singapore.Subjects: A total of 72 physicians and (...)
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  15.  27
    Psychosocial Support Issues Affecting Older Patients: A Cross-sectional Paramedic Perspective.Linda Ross, Paul Jennings & Brett Williams - 2017 - Inquiry: The Journal of Health Care Organization, Provision, and Financing 54:004695801773196.
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  16.  68
    Is It Reasonable to Deny Older Patients Treatment for Glioblastoma?Michael K. Gusmano - 2014 - Journal of Law, Medicine and Ethics 42 (2):183-189.
    Is it ever fair to limit treatment for diseases like glioblastoma for which prognosis is poor? Because resources are finite and health care spending limits the other possible uses for those resources, limiting access to an intervention that does not generate benefits is ethically sound. Ignoring the balance of benefits and burdens associated with treatment ignores opportunity costs and leads us to treat some lives as more valuable than others. It also ignores evidence that patients and families, when presented with (...)
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  17.  3
    The more they need care, the more they struggle to receive it. Older patients and the inverse care law.Federico Pennestrì - 2025 - Phenomenology and Mind 28:3.
    Universal health coverage (UHC) is the condition in which every member of a certain community have access to essential, effective care without financial hardship. Increasing older adults suffering from chronic morbidities and/or social isolation struggle to receive the care they need precisely when they need it most. These patients need care personalization, multidisciplinary integration and professional cooperation more than high-tech biomedical treatment, as plenty of social determinants frequently hamper the effectiveness of each single treatment received. If the health inequalities (...)
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  18.  62
    The ethics of care and justice in primary nursing of older patients.Soile Juujärvi, Kirsi Ronkainen & Piia Silvennoinen - 2019 - Clinical Ethics 14 (4):187-194.
    While the ethic of care has generally been regarded as an appropriate attitude for nurses, it has not received equal attention as a mode of ethical problem solving. The primary nursing model is exp...
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  19.  27
    Effect of Exercise on the Cognitive Function of Older Patients With Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis.Yi-Hui Cai, Zi Wang, Le-Yi Feng & Guo-Xin Ni - 2022 - Frontiers in Human Neuroscience 16.
    BackgroundAging and type 2 diabetes mellitus are important risk factors for the development of cognitive deterioration and dementia. The objective of this research was to investigate the effects of an exercise intervention on cognitive function in older T2DM patients.MethodsEight literature databases were searched from inception to 20 January 2022. The researchers examined randomized controlled trials that evaluated the impact of exercise on the cognitive performance of older T2DM patients. The Cochrane risk-of-bias tool for RCTs was used to assess (...)
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  20.  90
    The PSDA and treatment refusal by a depressed older patient committed to the state mental hospital.Melinda A. Lee, Linda Ganzini & Ronald Heintz - 1993 - HEC Forum 5 (5):289-301.
    Since 1991, the Patient Self-Determination Act (PSDA) has required all health care institutions that receive Federal funds to inform patients upon admission of their rights to make decisions about medical care and to execute advance directives. Implementation of the PSDA presents a special challenge for state mental hospitals. The relevance and possible negative therapeutic impact of discussing end of life decisions at the time of an acute psychiatric admission has recently been raised in the literature. Other ethical dilemmas arising (...)
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  21.  36
    (1 other version)Introduces an active learning series targeting all health professionals Topics in Geriatric Health Literacy: Degree to which older patients have the capacity to obtain, process, and understand.Teleconferencing Sites & Stephen F. Austin - forthcoming - Ethics.
  22. Neonates Are Devalued Compared to Older Patients.Keith Barrington, Carlo Bellieni & Annie Janvier - 2015 - In Annie Janvier & Eduard Verhagen, Ethical Dilemmas for Critically Ill Babies. Dordrecht: Springer Netherlands.
     
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  23.  26
    Ethical challenges in care for older patients who resist help.K. Brodtkorb, A. V.-S. Skisland, A. Slettebo & R. Skaar - 2015 - Nursing Ethics 22 (6):631-641.
    Background: Situations where patients resist necessary help can be professionally and ethically challenging for health professionals, and the risk of paternalism, abuse and coercion are present. Research question: The purpose of this study was to examine ethical challenges in situations where the patient resists healthcare. Research design: The method used was clinical application research. Academic staff and clinical co-researchers collaborated in a hermeneutical process to shed light on situations and create a basis for new action. Participants and research context: (...)
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  24.  65
    Empirical and normative ethics: A synthesis relating to the care of older patients.Lise-Lotte Jonasson, Per-Erik Liss, Björn Westerlind & Carina Berterö - 2011 - Nursing Ethics 18 (6):814-824.
    The aim of this study was to synthesize the concepts from empirical studies and analyze, compare and interrelate them with normative ethics. The International Council of Nurses (ICN) and the Health and Medical Service Act are normative ethics. Five concepts were used in the analysis; three from the grounded theory studies and two from the theoretical framework on normative ethics. A simultaneous concept analysis resulted in five outcomes: interconnectedness, interdependence, corroboratedness, completeness and good care are all related to the empirical (...)
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  25.  29
    Respect in the care of older patients in acute hospitals.Jaana Koskenniemi, Helena Leino-Kilpi & Riitta Suhonen - 2013 - Nursing Ethics 20 (1):5-17.
    The aim of this study was to describe the experiences of older patients and their next of kin with regards to respect in the care given in an acute hospital. The data were collected using tape-recorded interviews (10 patients and 10 next of kin) and analysed via inductive content analysis. Based on the analysis, the concept of respect can be defined by the actions taken by nurses (polite behaviour, the patience to listen, reassurance, response to information needs, assistance in (...)
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  26.  3
    Will older adults be represented in patient‐reported data? Opportunities and realities.Nina Roxburgh - 2024 - Bioethics 38 (9):763-769.
    Policy makers and health professionals are grappling with the high costs of and demand for health care, questions of sustainability and value, and changing population demographics—in particular, ageing populations. Digital solutions, including the adoption of patient‐reported measures, are considered critical in achieving person‐centred and value‐based health care. However, the utility of patient‐reported measures and the data they produce may be subject to ageist beliefs, prejudices and attitudes, rendering these data ineffective at promoting improved patient experiences and outcomes (...)
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  27.  31
    Suboptimal vitamin D screening in older patients with compromised skeletal health.Nahid J. Rianon, Kathleen P. Murphy, Rodrigo Guanlao, Matthew Hnatow, Elaine De Leon & Beatrice J. Selwyn - 2014 - Journal of Evaluation in Clinical Practice 20 (2):144-148.
  28. Problems in using health survey questionnaires in older patients with physical disabilities. The reliability and validity of the SF‐36 and the effect of cognitive impairment.D. Gwyn Seymour, Anne E. Ball, Elizabeth M. Russell, William R. Primrose, Andrew M. Garratt & John R. Crawford - 2001 - Journal of Evaluation in Clinical Practice 7 (4):411-418.
  29.  53
    GPs' perceptions of multiple‐medicine use in older patients.Janne Moen, Sara Norrgård, Karolina Antonov, J. Lars G. Nilsson & Lena Ring - 2010 - Journal of Evaluation in Clinical Practice 16 (1):69-75.
  30.  24
    The effect of a self‐management intervention on health care utilization in a sample of chronically ill older patients in the Netherlands.Henrike Elzen, Joris P. J. Slaets, Tom A. B. Snijders & Nardi Steverink - 2008 - Journal of Evaluation in Clinical Practice 14 (1):159-161.
  31.  90
    A community model of group therapy for the older patients with chronic obstructive pulmonary disease: a pilot study.Jean Woo, Wayne Chan, Fai Yeung, Wai M. Chan, Elsie Hui, Christopher M. Lum, Kevin H. Or, David S. C. Hui & Diana T. F. Lee - 2006 - Journal of Evaluation in Clinical Practice 12 (5):523-531.
  32.  80
    Confirming Older Adult Patients' Views of Who They Are and Would Like To Be.Ingrid Randers, Tina H. Olson & Anne-Cathrine Mattiasson - 2002 - Nursing Ethics 9 (4):416-431.
    This article reveals a 91-year-old cognitively intact man’s lived experiences of being cared for in a geriatric context in which the majority of the patients were cognitively impaired. A narrative patient story was analysed phenomenologically. The findings indicate that this patient’s basic needs for ethical care were not met. The staff did not see him as a unique individual with his own preferences, resources and abilities to master his life. In order to survive this lack of ethical care, (...)
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  33.  16
    The Patient-Centered Care and Receipt of Preventive Services Among Older Adults With Chronic Diseases: A Nationwide Cross-sectional Study.Liang Hailun, Zhu Junya, Kong Xiangrong, A. Beydoun May, A. Wenzel Jennifer & Shi Leiyu - 2017 - Inquiry: The Journal of Health Care Organization, Provision, and Financing 54:004695801772400.
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  34.  32
    Participating in a world that is out of tune: shadowing an older hospital patient.Hanneke van der Meide, Gert Olthuis & Carlo Leget - 2015 - Medicine, Health Care and Philosophy 18 (4):577-585.
    Hospitalization significantly impacts the lives of older people, both physically and psychosocially. There is lack of observation studies that may provide an embodied understanding of older patients’ experiences in its context. The aim of this single case study was to reach a deeper understanding of one older patient’s lived experiences of hospitalization. The study followed a phenomenological embodied enquiry design and the qualitative observation method of shadowing was used. In April 2011, one older patient (...)
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  35.  27
    A comparison of the discursive practices of perception of patient participation in haemodialysis units.Elin Margrethe Aasen - 2015 - Nursing Ethics 22 (3):341-351.
    Background: According to Norwegian law, nurses are obligated to provide an acceptable level of health assistance to patients and their family members and to allow patients and their family members to participate in the planning of patient care and treatment. Aim: The aim of this study is to compare the perceptions of older patients undergoing haemodialysis treatment and of their next of kin and of nurses regarding patient participation in the context of haemodialysis treatment. Research design: The (...)
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  36.  46
    Meaning in life of older persons: An integrative literature review.Susan Hupkens, Anja Machielse, Marleen Goumans & Peter Derkx - 2018 - Nursing Ethics 25 (8):973-991.
    Background: Meaning in life of older persons is related to well-being, health, quality of life, and “good life.” However, the topic is scarcely covered in nursing literature. Objective: The aim of this integrative review for nurses is to synthesize knowledge from scholarly literature to provide insight into how older persons find meaning in life, what are influencing circumstances, and what are their sources of meaning. The review serves as a starting point for including meaning in life of (...) persons as a major concern for nurses in their role as health promoters. Method: An integrative review was performed including empirical research literature and texts on theoretical perspectives. Ethical consideration: Researches agree with ethical codes for research of universities in the Netherlands. For literature reviews no additional procedures are necessary according to Dutch law. Findings: A total of 44 heterogeneous texts were included in this review. Finding meaning in life is challenging for older persons. Older persons find meaning through a developmental process, by creating and discovering. Meaning in life is found in connection with self and others. Health, living together, high socio-economic status, social relations, activities, and religion are associated with experiencing meaning in later life. The main source of meaning in life of older persons is human relationships. Other sources of meaning in life vary by age and culture. Discussion: The review provides insight into meaning in life of older persons. There are several gaps in knowledge: literature is culturally biased, research on discovery of meaning and daily meaning is limited, and research from a nursing perspective is lacking. In practice, nurses have many opportunities to attune to meaning in life of patients. Further development of competence and training are needed. Conclusion: Older persons find meaning in life through different processes. Meaning in life is associated with the circumstances old persons live in. Human relationship is the major source of meaning. The knowledge from this review is a necessary knowledge base for nurses to include meaning in life of older patients in care. Further research is needed to explore the role of nurses. (shrink)
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  37.  29
    Older Adults and Covid‐19: The Most Vulnerable, the Hardest Hit.Tia Powell, Eran Bellin & Amy R. Ehrlich - 2020 - Hastings Center Report 50 (3):61-63.
    Older adults in the United States have been the age group hardest hit by the Covid pandemic. They have suffered a disproportionate number of deaths; Covid patients eighty years or older on ventilators had fatality rates higher than 90 percent. How could we have better protected older adults? Both the popular press and government entities blamed nursing homes, labeling them “snake pits” and imposing harsh fines and arduous new regulations. We argue that this approach is unlikely to (...)
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  38.  84
    Undertreatment of pain in older adults: An application of beneficence.Dawn L. Denny & Ginny W. Guido - 2012 - Nursing Ethics 19 (6):800-809.
    Inadequate pain control, especially in older adults, remains a significant issue when caring for this population. Older adults, many of whom experience multiple acute and chronic conditions, are especially vulnerable to having their pain seriously underassessed and inadequately treated. Nurses have an ethical obligation to appropriately treat patients’ pain. To fulfill their ethical obligation to relieve pain in older patients, nurses often need to advocate on their behalf. This article provides an overview of the persistent problem of (...)
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  39.  2
    Unmet care needs of older people: A scoping review.Dominika Kalánková, Minna Stolt, P. Anne Scott, Evridiki Papastavrou, Riitta Suhonen & on Behalf of the Rancare Cost Action Ca8 - 2021 - Nursing Ethics 28 (2):149-178.
    The aim was to synthesize the findings of empirical research about the unmet nursing care needs of older people, mainly from their point of view, from all settings, focusing on (1) methodological approaches, (2) relevant concepts and terminology and (3) type, nature and ethical issues raised in the investigations. A scoping review after Arksey and O’Malley. Two electronic databases, MEDLINE/PubMed and CINAHL (from earliest to December 2019) were used. Systematic search protocol was developed using several terms for unmet care (...)
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  40.  45
    Ethical dilemmas in psychotherapy with older adults: A grounded theory analysis.Shai Lederman & Gaby Shefler - 2023 - Ethics and Behavior 33 (2):101-114.
    This study explores how therapists deal with ethical dilemmas in psychotherapy with older adults. Semi-structured interviews were conducted with 14 therapists and analyzed using grounded theory methodology. Findings clustered around three themes: (i) respecting autonomy when interacting with family of vulnerable and dependent older patients; (ii) prioritizing respecting autonomy in risk situations and in suspected financial abuse without impaired judgment; and (iii) prioritizing protecting the patient in risk situations of patients with dementia and of suspected physical abuse (...)
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  41.  27
    Patient Participation in Hospital Care: How Equal is the Voice of the Client Council?Carlo Leget, Gert Olthuis & Hanneke Meide - 2015 - Health Care Analysis 23 (3):238-252.
    Patient participation in healthcare is highly promoted for democratic reasons. Older patients make up a large part of the hospital population but their voices are less easily heard by most patient participation instruments. The client council can be seen as an important medium to represent the interests of this increasing group of patients. Every Dutch healthcare institution is obliged to have a client council and its rights are legally established. This paper reports on a case study of (...)
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  42.  50
    Maintenance of Patients' Integrity in Long-Term Institutional Care.Sari Teeri, Maritta Välimäki, Jouko Katajisto & Helena Leino-Kilpi - 2008 - Nursing Ethics 15 (4):523-535.
    This study aimed to describe and compare the views of nurses and older patients' relatives on factors restricting the maintenance of patient integrity in long-term care. The purposive sample comprised 222 nurses and 213 relatives of older patients in four Finnish long-term care institutions. The data were collected using a self-developed questionnaire addressing five sets of factors relating to patients, relatives, nurses, the organization and society. The maintenance of patient integrity was restricted by: (1) social factors, (...)
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  43.  4
    Treatment decision-making for older adults with cancer: A qualitative study.Ni Gong, Qianqian Du, Hongyu Lou, Yiheng Zhang, Hengying Fang, Xueying Zhang, Xiaoyu Wu, Ya Meng & Meifen Zhang - 2021 - Nursing Ethics 28 (2):242-252.
    Background: Independent decision-making is one of the basic rights of patients. However, in clinical practice, most older cancer patients’ treatment decisions are made by family members. Objective: This study attempted to analyze the treatment decision-making process and formation mechanism for older cancer patients within the special cultural context of Chinese medical practice. Method: A qualitative study was conducted. With the sample saturation principle, data collected by in-depth interviews with 17 family members and 12 patients were subjected to thematic (...)
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  44.  30
    Patient Participation in Hospital Care: How Equal is the Voice of the Client Council?Hanneke van der Meide, Gert Olthuis & Carlo Leget - 2015 - Health Care Analysis 23 (3):238-252.
    Patient participation in healthcare is highly promoted for democratic reasons. Older patients make up a large part of the hospital population but their voices are less easily heard by most patient participation instruments. The client council can be seen as an important medium to represent the interests of this increasing group of patients. Every Dutch healthcare institution is obliged to have a client council and its rights are legally established. This paper reports on a case study of (...)
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  45.  13
    Promoting Emotional Well-Being in Older Breast Cancer Patients: Results From an eHealth Intervention.Daniela Villani, Chiara Cognetta, Claudia Repetto, Silvia Serino, Davide Toniolo, Francesco Scanzi & Giuseppe Riva - 2018 - Frontiers in Psychology 9.
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  46.  14
    Psychosocial Experiences of Older Women in the Management of Urinary Incontinence: A Qualitative Study.Sorur Javanmardifard, Mahin Gheibizadeh, Fatemeh Shirazi, Kourosh Zarea & Fariba Ghodsbin - 2022 - Frontiers in Psychology 13:785446.
    IntroductionUrinary incontinence is a prevalent disorder amongst older women. Identifying the psychosocial experiences of older women in disease management can improve the patient care process. Hence, the present study aimed to determine the psychosocial experiences of older women in the management of urinary incontinence.MethodsThis qualitative study was conducted using conventional content analysis. The study data were collected via unstructured in-depth face-to-face interviews with 22 older women suffering from urinary incontinence selected via purposive sampling. Sampling and (...)
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  47.  8
    “PHE in Action”: Development and Modeling of an Intervention to Improve Patient Engagement among Older Adults.Julia Menichetti & Guendalina Graffigna - 2016 - Frontiers in Psychology 7.
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  48.  37
    The ethical implications of preventing hospital delirium in older adults: A scoping review.Janet Delgado, Ana Toledo Chávarri, Ana María de Pascual Y. Medina, Beatriz León Salas, María del Mar Trujillo Martín & Pedro Serrano Aguilar - forthcoming - Clinical Ethics:147775092210944.
    Introduction Hospital delirium is a frequent, serious, costly, and underrecognized acute disorder of attention and cognition. Therefore, the prevention of hospital delirium is not only desirable for patients, caregivers, healthcare professionals, and the health system itself, but also a moral duty. Objective To identify and synthetize the main ethical aspects that arise related to the prevention of hospital delirium in patients 65 years and older. Methods A scoping review was carried out in Embase, Medline, and Web of Science. Articles (...)
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  49.  69
    Older people in long-term care settings as research informants: Ethical challenges.Riitta Suhonen, Minna Stolt & Helena Leino-Kilpi - 2013 - Nursing Ethics 20 (5):0969733012463722.
    Conducting nursing research in long-term care facilities and with samples of older people requires careful attention to research ethics and the ethical conduct of the study. This review analysed the research ethics of the empirical studies that focus on older people in long-term care settings as research participants. Articles (n = 66) focussing on older people in long-term care settings as research informants were retrieved from an electronic search of MEDLINE (1990 to February 2012) using the MESH (...)
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  50.  3
    Dignity of older home-dwelling women nearing end-of-life: Informal caregivers’ perception.Katrine Staats, Ellen Karine Grov, Bettina S. Husebø & Oscar Tranvåg - 2021 - Nursing Ethics 28 (3):444-456.
    Background: Most older people wish to live in the familiar surroundings of their own home until they die. Knowledge concerning dignity and dignity loss of home-dwelling older women living with incurable cancer should be a foundation for quality of care within municipal healthcare services. The informal caregivers of these women can help increase the understanding of sources related to dignity and dignity loss Aim: The aim of this study was to explore informal caregivers’ perceptions of sources related to (...)
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