© 1997 Oxford University Press
research-article |
What degree of medical treatment do nursing home residents want in case of life-threatening disease?
Geriatric Department HL, The Copenhagen Municipal Hospital Øster Farimagsgade 5, DK-1399 Copenhagen K, Denmark
Address correspondence to: C Moe. Fax (+45) 33 95 0195
AIM:: to examine the degree of medical treatment wanted by nursing home residents, their relatives and staff members should the resident develop a serious and life-threatening disease and to analyse the degree of agreement between the wishes of these parties.
DESIGN:: an epidemiological, descriptive cross-sectional study.
MATERIAL AND METHODS:: the study population consisted of 101 competent and 106 incompetent residents from 16 nursing homes; 142 relatives and 207 staff members were also interviewed. A hypothetical disease story was presented to residents, relatives and staff members and their choices classified into four groups according to degree of treatment.
RESULTS:: direct comparisons for the individual resident showed the greatest degree of disagreement whether to accept or refuse referral to hospital between relatives of incompetent residents and staff members, in that the preference for curative treatment was significantly more frequent among the relatives.
CONCLUSIONS:: nursing home staff should try to discuss with relatives of incompetent residents their preferences for treatment in case the resident develops a serious disease before an acute situation arises.
Keywords: degree of treatment, elderly residents, life-threatening illness, nursing home, patients' wishes
Received September 25, 1996;
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