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Rapid review of decision-making for place of care and death in older people: Lessons for COVID-19.
- Source :
-
European Psychiatry . 2022 Supplement S1, Vol. 64, pS273-S273. 1/3p. - Publication Year :
- 2021
-
Abstract
- Introduction: The coronavirus pandemic (COVID-19) has affected the functioning and capacity of healthcare systems worldwide. COVID-19 has also disproportionately affected older adults, including those living with dementia. In the context of COVID-19, decision-making surrounding place of care and place of death in this population involves significant new challenges. Objectives: To explore key factors that influence place of care and place of death decisions in older adults. A secondary aim was to investigate key factors that influence the process and outcome of these decisions in older adults. To apply findings from current evidence to the context of COVID-19. Methods: Rapid review of reviews, undertaken using WHO guidance for rapid reviews. Ten papers were included for full data extraction. These papers were published between 2005-2020. Data extracted was synthesised using narrative synthesis, with thematic analysis and tabulation. Results: Papers included discussed actual place of death, as well as preferred. Results were divided into papers that explored the process of decision-making, and those that explored decision-making outcomes. Factors such as caregiver capacity, the availability of multidisciplinary teams, cultural appropriateness of care packages and advanced care planning were found to be key. Conclusions: The process and outcomes of decision-making for older people are affected by many factors - all of which have the potential to influence both patients and caregivers experience of illness and dying. Within the context of COVID-19, such decisions may have to be made rapidly and be reflexive to changing needs of systems and of families and patients. [ABSTRACT FROM AUTHOR]
- Subjects :
- *ELDER care
*COVID-19
*COVID-19 pandemic
*DECISION making
*OLDER people
Subjects
Details
- Language :
- English
- ISSN :
- 09249338
- Volume :
- 64
- Database :
- Academic Search Index
- Journal :
- European Psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 160598301
- Full Text :
- https://doi.org/10.1192/j.eurpsy.2021.732