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Terminal Care in Nursing Homes  

Kim, Jung Hee (Department of Nursing, Inha University)
Mun, Kyung Sook (Department of Nursing, Inha University)
Shin, Bok Soon (Department of Nursing, Inha University)
Jang, Eun A (Department of Nursing, Inha University)
Publication Information
Journal of Korean Academic Society of Home Health Care Nursing / v.22, no.2, 2015 , pp. 216-227 More about this Journal
Abstract
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.
Keywords
Nursing Homes; Terminal Care; Death; Aged;
Citations & Related Records
Times Cited By KSCI : 9  (Citation Analysis)
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