ArticleZeitschrift fur Gerontologie und Geriatrie2017
[Living and dying with frailty : Qualitative interviews with elderly people in the domestic environment].
Article in Zeitschrift fur Gerontologie und Geriatrie, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.
- Needs and preferences of informal caregivers regarding outpatient care for the elderly: a systematic literature review.BMC geriatrics · 2019Pooled it
- 'Do you have a future when you are 93?' Frail older person's perceptions about the future and end of life - a qualitative interview study in primary care.Scandinavian journal of primary health care · 2022Article
- Caring for frail older patients in the last phase of life : Challenges for general practitioners in the integration of geriatric and palliative care.Zeitschrift fur Gerontologie und Geriatrie · 2020Article
- Optimal care at the end of life (OPAL): study protocol of a prospective interventional mixed-methods study with pretest-posttest-design in a primary health care setting considering the view of general practitioners, relatives of deceased patients and health care stakeholders.BMC health services research · 2019Article
- [Wishes of nursing home residents for their dying].Zeitschrift fur Gerontologie und Geriatrie · 2018Article
- Systematic development and adjustment of the German version of the Supportive and Palliative Care Indicators Tool (SPICT-DE).BMC palliative care · 2018Article
- Caring for frail older people in the last phase of life - the general practitioners' view.BMC palliative care · 2016Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFrail older people are becoming an increasingly more important target group in healthcare provision. Little is known about patients' views on frailty and its various impacts, especially towards the end of life. This study was carried out to analyze the needs of frail elderly people at the end of life.
methodA qualitative, longitudinal case study design was applied and included 31 frail older patients (≥ 70 year) with a Canadian study of health and aging (CSHA) clinical frailty scale (CFS) grade 6/7 from urban and rural areas within the region of Lower Saxony. The analysis was based on guided interviews and followed the principles of grounded theory.
resultsFrom the patients' perspective frailty is perceived as a process of increasing complexity of health problems, increased vulnerability and reduced ability to perform tasks. Frailty is experienced as various deficits including the physical, psychological, social and existential dimensions. Living and dying in a familiar environment and maintaining autonomy was identified as a core category. Key determinants were access to and quality of healthcare services as well as various individual and social resources.
conclusionA palliative biopsychosocial care approach should be established early in the process of frailty, including advance care planning in order to meet the patients' needs of staying in a familiar environment. General practitioners as well as home care nursing personnel have to collaborate in order to balance issues of autonomy with increased care needs and the support of informal carers as key partners towards the end of life.
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