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http://repositorio.inger.gob.mx/jspui/handle/20.500.12100/17311| Título : | Factors associated with terminally ill people who want to die |
| Autor: | Gary Cheung ADRIAN MARTINEZ RUIZ Rebecca Knell Anne O´Callaghan Dawn Guthrie |
| Palabras clave : | MEDICINA Y CIENCIAS DE LA SALUD;Ciencias médicas;Ciencias clínicas;Geriatría;Eutanasia;Euthanasia;Muerte asistida por un médico;Physician-assisted dying;Enfermedad terminal;Terminal illness;Cuidados paliativos;Palliative care |
| Fecha de publicación: | 2020 |
| Editorial : | Elsevier, American Academy of Hospice and Palliative Medicine, National Hospice and Palliative Care Organization & U.S. Cancer Pain Relief Committee |
| Descripción : | 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. |
| URI : | http://repositorio.inger.gob.mx/jspui/handle/20.500.12100/17311 |
| Aparece en las colecciones: | 1. Artículos |
Ficheros en este ítem:
| Fichero | Descripción | Tamaño | Formato | |
|---|---|---|---|---|
| Journal of Pain and Symptom Management (0885-3924) Vol. 60 (2020).pdf | 613.53 kB | Adobe PDF | Visualizar/Abrir |