Information Required by Visiting Nurses to Respect the Wishes of Elderly People Being Cared for at Home Regarding End-of-Life Care

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  • 在宅療養高齢者の終末期医療に対する意思把握に訪問看護師が必要とする情報
  • ザイタク リョウヨウ コウレイシャ ノ シュウマツキ イリョウ ニ タイスル イシ ハアク ニ ホウモン カンゴシ ガ ヒツヨウ ト スル ジョウホウ

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Abstract

Aim: The study aimed to clarify information required by visiting nurses to respect the wishes of elderly people being cared for at home regarding end-of-life care, through case studies where it was judged that end-of-life care in accordance with the wishes of the elderly person had been provided.<br> Methods: Unstructured interviews conducted with 5 visiting nurses were transcribed verbatim, and the interview data were analyzed using qualitative descriptive methods to elicit information required for determination of wishes. In addition, similarity of the elicited information to the content of Lambert et al.'s values history, which forms the basis of decision-making for end-of-life care, was examined.<br> Results: The following 8 categories were elicited as information required to respect wishes: "Way of living", "Decision-making", "Religion/funeral", "Health", "Life expectancy", "Costs of care", "Relationship with medical and care teams" and "Wishes regarding end-of-life care". With a few exceptions, most of the information elicited was similar to the content of the values history. <br> Conclusion: The study suggests that in Japan, as in the USA, information that forms the basis of decision-making, shown through ways of thinking and characteristics of the individual as specified in the values history, is necessary to respect wishes regarding end-of-life care.

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