How do our older adults die? The perception of family members about suffering in the last year of life

Detalhes bibliográficos
Autor(a) principal: Assumpção,Daniela de
Data de Publicação: 2023
Outros Autores: Francisco,Priscila Maria Stolses Bergamo, Seoanes,Gabriela Asenjo, Chierighini,Roberto, Silva,Larissa de Pontes, Neri,Anita Liberalesso
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Geriatrics, Gerontology and Aging (Online)
Texto Completo: https://ggaging.com/details/1789
Resumo: <p><b>OBJECTIVES:</b> To characterize the signs and symptoms of suffering, the circumstances of death, and health service use in the 12 months prior to death in a cohort of community-dwelling older adults according to relatives&rsquo; perception, as well as to verify the relationships between baseline frailty and signs/symptoms of suffering in the last year of life.<br> <b>METHODS:</b> This retrospective cohort study used data from the Frailty in Older Brazilians (<i>FIBRA</i>) Study. Home interviews were carried out with the relatives of deceased older adults. Descriptive statistical analyses were performed, including adjusted prevalence ratios through Poisson regression.<br> <b>RESULTS:</b> A total of 192 family members participated (64.58% women). The mean age of the deceased was 80.59 years (59.90% women; 27.08% with no formal education). In the year before death, 51.34% had fatigue, 43.68% had pain, 42.63% had anorexia, 41.27% had dyspnea, and 41.21% suffered a fall. Most died either at home (52.10%) or in the hospital (41.66%). The most frequent causes of death were circulatory and respiratory system diseases and neoplasms; 29.63% died suddenly, 51.05% were admitted to an intensive care unit, 52.60% were hospitalized, 58.76% used pain medication, and 27.13% received home care. Relative to non-frailty, baseline frailty was associated with dependence (prevalence ratio = 2.52) and pain medication use (prevalence ratio = 1.52) in the last year of life.<br> <b>CONCLUSIONS:</b> Signs and symptoms of suffering in the last year of life were high among community-dwelling older adults, highlighting the need to support them and their families through provide palliative care.</p>
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spelling How do our older adults die? The perception of family members about suffering in the last year of lifeolder adults physical suffering frailty end of life end-of-life care health services.<p><b>OBJECTIVES:</b> To characterize the signs and symptoms of suffering, the circumstances of death, and health service use in the 12 months prior to death in a cohort of community-dwelling older adults according to relatives&rsquo; perception, as well as to verify the relationships between baseline frailty and signs/symptoms of suffering in the last year of life.<br> <b>METHODS:</b> This retrospective cohort study used data from the Frailty in Older Brazilians (<i>FIBRA</i>) Study. Home interviews were carried out with the relatives of deceased older adults. Descriptive statistical analyses were performed, including adjusted prevalence ratios through Poisson regression.<br> <b>RESULTS:</b> A total of 192 family members participated (64.58% women). The mean age of the deceased was 80.59 years (59.90% women; 27.08% with no formal education). In the year before death, 51.34% had fatigue, 43.68% had pain, 42.63% had anorexia, 41.27% had dyspnea, and 41.21% suffered a fall. Most died either at home (52.10%) or in the hospital (41.66%). The most frequent causes of death were circulatory and respiratory system diseases and neoplasms; 29.63% died suddenly, 51.05% were admitted to an intensive care unit, 52.60% were hospitalized, 58.76% used pain medication, and 27.13% received home care. Relative to non-frailty, baseline frailty was associated with dependence (prevalence ratio = 2.52) and pain medication use (prevalence ratio = 1.52) in the last year of life.<br> <b>CONCLUSIONS:</b> Signs and symptoms of suffering in the last year of life were high among community-dwelling older adults, highlighting the need to support them and their families through provide palliative care.</p>Sociedade Brasileira de Geriatria e Gerontologia2023-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttps://ggaging.com/details/1789Geriatrics, Gerontology and Aging v.17 n.0 2023reponame:Geriatrics, Gerontology and Aging (Online)instname:Sociedade Brasileira de Geriatria e Gerontologiainstacron:SBGG10.53886/gga.e0230023info:eu-repo/semantics/openAccess Assumpção,Daniela de Francisco,Priscila Maria Stolses Bergamo Seoanes,Gabriela Asenjo Chierighini,Roberto Silva,Larissa de Pontes Neri,Anita Liberalessoeng2023-01-01T00:00:00Zoai:ggaging.com:1789Revistahttp://sbgg.org.br/publicacoes-cientificas/revista-geriatria-gerontologia/ONGhttps://old.scielo.br/oai/scielo-oai.phpexecutiveditors@ggaging.com||nacional@sbgg.org.br2447-21232447-2115opendoar:2023-01-01T00:00Geriatrics, Gerontology and Aging (Online) - Sociedade Brasileira de Geriatria e Gerontologiafalse
dc.title.none.fl_str_mv How do our older adults die? The perception of family members about suffering in the last year of life
title How do our older adults die? The perception of family members about suffering in the last year of life
spellingShingle How do our older adults die? The perception of family members about suffering in the last year of life
Assumpção,Daniela de
older adults
physical suffering
frailty
end of life
end-of-life care
health services.
title_short How do our older adults die? The perception of family members about suffering in the last year of life
title_full How do our older adults die? The perception of family members about suffering in the last year of life
title_fullStr How do our older adults die? The perception of family members about suffering in the last year of life
title_full_unstemmed How do our older adults die? The perception of family members about suffering in the last year of life
title_sort How do our older adults die? The perception of family members about suffering in the last year of life
author Assumpção,Daniela de
author_facet Assumpção,Daniela de
Francisco,Priscila Maria Stolses Bergamo
Seoanes,Gabriela Asenjo
Chierighini,Roberto
Silva,Larissa de Pontes
Neri,Anita Liberalesso
author_role author
author2 Francisco,Priscila Maria Stolses Bergamo
Seoanes,Gabriela Asenjo
Chierighini,Roberto
Silva,Larissa de Pontes
Neri,Anita Liberalesso
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Assumpção,Daniela de
Francisco,Priscila Maria Stolses Bergamo
Seoanes,Gabriela Asenjo
Chierighini,Roberto
Silva,Larissa de Pontes
Neri,Anita Liberalesso
dc.subject.por.fl_str_mv older adults
physical suffering
frailty
end of life
end-of-life care
health services.
topic older adults
physical suffering
frailty
end of life
end-of-life care
health services.
description <p><b>OBJECTIVES:</b> To characterize the signs and symptoms of suffering, the circumstances of death, and health service use in the 12 months prior to death in a cohort of community-dwelling older adults according to relatives&rsquo; perception, as well as to verify the relationships between baseline frailty and signs/symptoms of suffering in the last year of life.<br> <b>METHODS:</b> This retrospective cohort study used data from the Frailty in Older Brazilians (<i>FIBRA</i>) Study. Home interviews were carried out with the relatives of deceased older adults. Descriptive statistical analyses were performed, including adjusted prevalence ratios through Poisson regression.<br> <b>RESULTS:</b> A total of 192 family members participated (64.58% women). The mean age of the deceased was 80.59 years (59.90% women; 27.08% with no formal education). In the year before death, 51.34% had fatigue, 43.68% had pain, 42.63% had anorexia, 41.27% had dyspnea, and 41.21% suffered a fall. Most died either at home (52.10%) or in the hospital (41.66%). The most frequent causes of death were circulatory and respiratory system diseases and neoplasms; 29.63% died suddenly, 51.05% were admitted to an intensive care unit, 52.60% were hospitalized, 58.76% used pain medication, and 27.13% received home care. Relative to non-frailty, baseline frailty was associated with dependence (prevalence ratio = 2.52) and pain medication use (prevalence ratio = 1.52) in the last year of life.<br> <b>CONCLUSIONS:</b> Signs and symptoms of suffering in the last year of life were high among community-dwelling older adults, highlighting the need to support them and their families through provide palliative care.</p>
publishDate 2023
dc.date.none.fl_str_mv 2023-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://ggaging.com/details/1789
url https://ggaging.com/details/1789
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.53886/gga.e0230023
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Geriatria e Gerontologia
publisher.none.fl_str_mv Sociedade Brasileira de Geriatria e Gerontologia
dc.source.none.fl_str_mv Geriatrics, Gerontology and Aging v.17 n.0 2023
reponame:Geriatrics, Gerontology and Aging (Online)
instname:Sociedade Brasileira de Geriatria e Gerontologia
instacron:SBGG
instname_str Sociedade Brasileira de Geriatria e Gerontologia
instacron_str SBGG
institution SBGG
reponame_str Geriatrics, Gerontology and Aging (Online)
collection Geriatrics, Gerontology and Aging (Online)
repository.name.fl_str_mv Geriatrics, Gerontology and Aging (Online) - Sociedade Brasileira de Geriatria e Gerontologia
repository.mail.fl_str_mv executiveditors@ggaging.com||nacional@sbgg.org.br
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