| dc.rights.license | http://creativecommons.org/licenses/by/4.0 | es_MX |
| dc.creator | Gary Cheung | es_MX |
| dc.creator | ADRIAN MARTINEZ RUIZ | es_MX |
| dc.creator | Rebecca Knell | es_MX |
| dc.creator | Anne O´Callaghan | es_MX |
| dc.creator | Dawn Guthrie | es_MX |
| dc.date | 2020 | |
| dc.date.accessioned | 2021-11-17T20:42:18Z | |
| dc.date.available | 2021-11-17T20:42:18Z | |
| dc.identifier.uri | http://repositorio.inger.gob.mx/jspui/handle/20.500.12100/17311 | |
| dc.description | Context: The decision to request and proceed with euthanasia or physician-assisted dying is complex, and predictors of such decisions are heterogeneous with regard to physical health, psychological, and social factors. Local research is therefore needed.
Objectives: To examine the interplay of demographic, clinical, and psychosocial factors routinely collected by a standardized clinical instrument, the interRAI Resident Assessment Instrument for Palliative Care (interRAI-PC), in people with a prognosis of less than 12 months who wanted to die.
Methods: All New Zealanders who had an interRAI-PC in 2018 were included. The outcome variable was the single item Wants to die now. Independent variables included biopsychosocial factors and health index scales generated by interRAI-PC. A binary logistic regression was used to determine the predictive factors of Wants to die now (yes vs. no).
Results: There were 771 individuals included (mean age 76.0 years; SD 11.6; female 50.1%); 9.3% of whom reported yes to Wants to die now, 59.8% no, and for 30.9%, the assessor was unable to determine. The factors with the largest odds ratios (ORs) were awareness of terminal prognosis (OR 4.8; 95% CI 2.2-10.3), high level of depression (OR 4.6; 95% CI 1.7-12.6), not finding meaning in day-to-day life (OR 3.8; 95% CI 1.8-8.1), and pain (less than severe: OR 3.7; 95% CI 1.3-10.4 and severe to excruciating: OR 3.5; 95% CI 1.1-10.7).
Conclusion: Addressing the significant factors we identified should form part of a multidisciplinary assessment when terminally ill patients express a wish to die, to ensure their physical, psychological, and existential needs are adequately met. | es_MX |
| dc.format | Adobe PDF | es_MX |
| dc.language | eng | es_MX |
| dc.publisher | Elsevier, American Academy of Hospice and Palliative Medicine, National Hospice and Palliative Care Organization & U.S. Cancer Pain Relief Committee | es_MX |
| dc.relation | https://www.jpsmjournal.com/article/S0885-3924(20)30197-4/fulltext | es_MX |
| dc.relation.requires | Si | es_MX |
| dc.rights | Acceso Abierto | es_MX |
| dc.source | Journal of Pain and Symptom Management (0885-3924) Vol. 60 (2020) | es_MX |
| dc.subject | MEDICINA Y CIENCIAS DE LA SALUD | es_MX |
| dc.subject | Ciencias médicas | es_MX |
| dc.subject | Ciencias clínicas | es_MX |
| dc.subject | Geriatría | es_MX |
| dc.subject | Eutanasia | es_MX |
| dc.subject | Euthanasia | es_MX |
| dc.subject | Muerte asistida por un médico | es_MX |
| dc.subject | Physician-assisted dying | es_MX |
| dc.subject | Enfermedad terminal | es_MX |
| dc.subject | Terminal illness | es_MX |
| dc.subject | Cuidados paliativos | es_MX |
| dc.subject | Palliative care | es_MX |
| dc.title | Factors associated with terminally ill people who want to die | es_MX |
| dc.type | Artículo | es_MX |
| dc.audience | Researchers | es_MX |
| dc.creator.id | CA1343733 | es_MX |
| dc.creator.id | MARA841109HCHRZD03 | es_MX |
| dc.creator.id | CA1349892 | es_MX |
| dc.creator.id | CA1349893 | es_MX |
| dc.creator.id | CA1349894 | es_MX |
| dc.creator.nameIdentifier | ca | es_MX |
| dc.creator.nameIdentifier | curp | es_MX |
| dc.creator.nameIdentifier | ca | es_MX |
| dc.creator.nameIdentifier | ca | es_MX |
| dc.creator.nameIdentifier | ca | es_MX |
