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Factors associated with terminally ill people who want to die

dc.rights.licensehttp://creativecommons.org/licenses/by/4.0es_MX
dc.creatorGary Cheunges_MX
dc.creatorADRIAN MARTINEZ RUIZes_MX
dc.creatorRebecca Knelles_MX
dc.creatorAnne O´Callaghanes_MX
dc.creatorDawn Guthriees_MX
dc.date2020
dc.date.accessioned2021-11-17T20:42:18Z
dc.date.available2021-11-17T20:42:18Z
dc.identifier.urihttp://repositorio.inger.gob.mx/jspui/handle/20.500.12100/17311
dc.descriptionContext: 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.formatAdobe PDFes_MX
dc.languageenges_MX
dc.publisherElsevier, American Academy of Hospice and Palliative Medicine, National Hospice and Palliative Care Organization & U.S. Cancer Pain Relief Committeees_MX
dc.relationhttps://www.jpsmjournal.com/article/S0885-3924(20)30197-4/fulltextes_MX
dc.relation.requiresSies_MX
dc.rightsAcceso Abiertoes_MX
dc.sourceJournal of Pain and Symptom Management (0885-3924) Vol. 60 (2020)es_MX
dc.subjectMEDICINA Y CIENCIAS DE LA SALUDes_MX
dc.subjectCiencias médicases_MX
dc.subjectCiencias clínicases_MX
dc.subjectGeriatríaes_MX
dc.subjectEutanasiaes_MX
dc.subjectEuthanasiaes_MX
dc.subjectMuerte asistida por un médicoes_MX
dc.subjectPhysician-assisted dyinges_MX
dc.subjectEnfermedad terminales_MX
dc.subjectTerminal illnesses_MX
dc.subjectCuidados paliativoses_MX
dc.subjectPalliative carees_MX
dc.titleFactors associated with terminally ill people who want to diees_MX
dc.typeArtículoes_MX
dc.audienceResearcherses_MX
dc.creator.idCA1343733es_MX
dc.creator.idMARA841109HCHRZD03es_MX
dc.creator.idCA1349892es_MX
dc.creator.idCA1349893es_MX
dc.creator.idCA1349894es_MX
dc.creator.nameIdentifiercaes_MX
dc.creator.nameIdentifiercurpes_MX
dc.creator.nameIdentifiercaes_MX
dc.creator.nameIdentifiercaes_MX
dc.creator.nameIdentifiercaes_MX


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