Barriers to providing palliative care for older people in acute hospitals

被引：81
|
作者：
Gardiner, Clare [1 ]
Cobb, Mark [3 ]
Gott, Merryn [2 ]
Ingleton, Christine [1 ]
机构：
[1] Univ Sheffield, Sch Nursing & Midwifery, Sheffield, S Yorkshire, England
[2] Univ Auckland, Sch Nursing, Auckland 1, New Zealand
[3] Sheffield Teaching Hosp NHS Fdn Trust, Sheffield, S Yorkshire, England
来源：
AGE AND AGEING | 2011年 / 40卷 / 02期
关键词：
palliative care; hospitals; older people; elderly; LIFE; END;
D O I：
10.1093/ageing/afq172
中图分类号：
R592 [老年病学]; C [社会科学总论];
学科分类号：
03 ; 0303 ; 100203 ;
摘要：
Objective: to explore the perspectives of health professionals regarding barriers to optimal palliative care for older people in acute hospitals. Methods: fifty-eight health professionals participated in eight focus groups and four semi-structured interviews. Results: participants identified various barriers to palliative care provision for older people, including attitudinal differences to the care of older people, a focus on curative treatments within hospitals and a lack of resources. Participants also reported differing understandings of whose responsibility it was to provide palliative care for older people, and uncertainly over the roles of specialist and generalist palliative care providers in acute hospitals. Conclusions: numerous barriers exist to the provision of high-quality palliative care for older people within acute hospital settings. Additional research is now required to further explore age-related issues contributing to poor access to palliative care.
引用
收藏
页码：233 / 238
页数：6
相关论文
共 50 条
  • [31] Exploring key topics in palliative care: pain and palliative care for older people
    Wale, Jane
    [J]. CLINICAL MEDICINE, 2014, 14 (04) : 416 - 418
  • [32] What is the Impact of Volunteers Providing Care and Support for People with Dementia in Acute Hospitals? A Systematic Review
    Hall, Claire L.
    Brooke, Joanne
    Pendlebury, Sarah T.
    Jackson, Debra
    [J]. DEMENTIA-INTERNATIONAL JOURNAL OF SOCIAL RESEARCH AND PRACTICE, 2019, 18 (04): : 1410 - 1426
  • [33] Barriers and Enablers to Providing Palliative Care in Rural Communities: A Nursing Perspective
    Kaasalainen, Sharon
    Brazil, Kevin
    Williams, Allison
    Wilson, Donna
    Willison, Kathleen
    Marshall, Denise
    Taniguchi, Alan
    [J]. JOURNAL OF RURAL AND COMMUNITY DEVELOPMENT, 2012, 7 (04): : 4 - 19
  • [34] Perceptions and utilization of palliative care services in acute care hospitals
    Rodriguez, Keri L.
    Barnato, Amber E.
    Arnold, Robert M.
    [J]. JOURNAL OF PALLIATIVE MEDICINE, 2007, 10 (01) : 99 - 110
  • [35] Palliative care for frail older people: A cross-sectional survey of patients at two hospitals in England
    Gardiner, Clare
    Gott, Merryn
    Ingleton, Christine
    Richards, Naomi
    [J]. PROGRESS IN PALLIATIVE CARE, 2013, 21 (05) : 272 - 277
  • [36] Providing palliative care for older adults in an institutional care setting: Advocacy and outcomes
    Clarke, H
    Pink, A
    Luz, E
    Alexander, J
    Hay, K
    Martin, B
    Leibold, L
    [J]. JOURNAL OF PALLIATIVE CARE, 2005, 21 (03) : 219 - 219
  • [37] Barriers to eye care for older people in the Philippines
    Ho, Frances Dominique, V
    Alberto, Nicole Rose, I
    Flores, Gabrielle P.
    Eala, Michelle Ann B.
    Mesina, Bryan Vincent Q.
    [J]. LANCET HEALTHY LONGEVITY, 2022, 3 (03): : E130 - E130
  • [38] Effective management for older people with heart failure: from acute to palliative care paradigms
    Yu, Doris S. F.
    [J]. JOURNAL OF GERIATRIC CARDIOLOGY, 2016, 13 (05) : 391 - 392
  • [39] Minimising barriers to dental care in older people
    Borreani E.
    Wright D.
    Scambler S.
    Gallagher J.E.
    [J]. BMC Oral Health, 8 (1)
  • [40] 'Not because they are old' - an independent inquiry into the care of older people on acute wards in general hospitals
    Spalding, D
    [J]. JOURNAL OF HUMAN NUTRITION AND DIETETICS, 1999, 12 (05) : 473 - 474
12345