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Terminal Care in Nursing Homes
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일 지역 요양시설의 임종돌봄서비스

논문 기본 정보

Type
Academic journal
Author
Journal
한국가정간호학회 가정간호학회지 가정간호학회지 제22권 제2호 KCI Accredited Journals
Published
2015.1
Pages
216 - 227 (12page)

Usage

cover
Terminal Care in Nursing Homes
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Abstract· Keywords

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Purpose: This study aimed at understanding terminal care provided in nursing homes. Method: An interview survey with staff in charge of terminal care was conducted in 97 nursing homes using questionnaires. The questionnaire was reviewed by 3 experts and pretested at 5 facilities. Data were analyzed using descriptive statistics, chi-square test, and Fisher’s exact test. Result: Dyspnea was the most prevalent symptom predicting death. The most prevalent services were vital sign check for physical care, providing services by talking despite an unconscious state for psychosocial care, and respecting the faith of the elder for spiritual care. Employment of a registered nurse showed a significant difference in tube feeding (p=.035), analgesic administration (p=.022), informing the elder of end-of-life state (p=.020), helping an elderly person say good-byes through a visit with friends and acquaintances (p=.023), and helping express feelings related to death (p=.002). Lack of service was noticed for elderly resident, family, and staff after death of an elder. Problems related to terminal care were indifference of family members, difficulty in obtaining medical prescription, difficulty in predicting death, and so forth. Conclusion: Terminal care must be improved by making specific guidelines and it must become a part of nursing home evaluation.
#요양시설 #임종돌봄서비스 #노인 #Nursing Homes #Terminal Care #Death #Aged

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References (28)

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Brazil, K / 2004 / Quality end-of-life care in long-term care facilities : service providers’ perspective / Journal of Palliative Care 20 (2) : 85 ~ 92 google schola Brazil, K / 2006 / Quality of care for residents dying in Ontario long-term care facilities : findings from a survey of directors of care / Journal of Palliative Care 22 (1) google schola Catholic University Hospice Education Research Institute / 2006 / Hospice and palliative care / Koonja Publishing Company google schola English, D / 2001 / Why hospice care belongs in nursing homes, Part 1 / Nursing Homes 50 (4) : 46 ~ 50 google schola Goodridge, D / 2005 / End-of-life care in a nursing home : a study of family, nurse and healthcare aide perspectives / International Journal of Palliative Nursing 11 (5) : 22 google schola

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