1. Trajectories of care home residents during the last month of life: the case of France.
- Author
-
PENNEC, SOPHIE, GAYMU, JOELLE, MORAND, ELISABETH, RIOU, FRANCOISE, PONTONE, SILVIA, AUBRY, REGIS, and CASES, CHANTAL
- Subjects
- *
ELDER care , *CAUSES of death , *DEMENTIA , *DIET therapy , *LENGTH of stay in hospitals , *HOSPITALS , *HOSPITAL admission & discharge , *LONG-term health care , *MENTAL illness , *NURSING home patients , *NURSING care facilities , *PALLIATIVE treatment , *PSYCHOLOGISTS , *QUESTIONNAIRES , *RESEARCH funding , *SURVEYS , *TERMINAL care , *DECISION making in clinical medicine , *ADVANCE directives (Medical care) , *LOGISTIC regression analysis , *DEATH certificates , *SYMPTOMS , *RETROSPECTIVE studies , *PASSIVE euthanasia , *DATA analysis software , *DESCRIPTIVE statistics , *ODDS ratio - Abstract
This paper examines some demographic and medical factors associated with the likelihood of residing in a care home during the last month of life for persons aged 70 and over in France and, if so, of remaining in the care home throughout or being transferred to hospital. The data are from the Fin de vie en France (End of Life in France) survey undertaken in 2010. During the last month of life, very old people are more likely to be living in a care home but are not less likely to be transferred to hospital. Medical conditions and residential trajectories are closely related. People with dementia or mental disorders are more likely to live in a care home and, if so, to stay there until they die. Compared to care homes, a more technical and medication-based approach is taken in hospitals and care home residents who are transferred to hospital more often receive medication while those remaining in care homes more often receive support from a psychologist. In hospitals as in care homes, few older persons had recourse to advance directives and hospice programmes were not widespread. Promoting these two factors may help to increase the quality of end of life and facilitate an ethical approach to end-of-life care. [ABSTRACT FROM PUBLISHER]
- Published
- 2017
- Full Text
- View/download PDF