Factors enabling home death of the elderly in an institution specializing in home medical care: analysis of apprehension of the bereaved family

Geriatrics & Gerontology International
Akiko AkiyamaHiroshi Mikami

Abstract

To determine the factors enabling home death despite caregiver apprehension about home medical care. This study was an anonymous mailed survey of bereaved family members (the caregiver) of patients who died in a home medical care setting provided by an institution specializing in home medical care in Japan (home death rate, approximately 80%). We analyzed the relationships between caregiver apprehension about home medical care, overall satisfaction with home medical care and the place of death. Higher caregiver apprehension about home medical care and lower overall satisfaction with home medical care were significantly associated with dying in a hospital. In addition, the home death group with apprehension about home medical care significantly rated higher overall satisfaction with home medical care than the hospital death group. Meanwhile, there was no difference in the overall satisfaction with home medical care between those with or without apprehension about home medical care in the home death group. Factors influencing overall satisfaction with home medical care in the home death group with apprehension about home medical care were: (i) being free from pain or symptoms (partial regression coefficient: 0.83); and (ii) fulfi...Continue Reading

References

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Jan 17, 2008·Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics·Akiko AkiyamaHiroshi Mikami

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Citations

Dec 17, 2009·BMC Palliative Care·Mette Asbjoern NeergaardJens Sondergaard
Feb 9, 2012·Archives of Gerontology and Geriatrics·Akiko AkiyamaHiroshi Mikami
Aug 25, 2010·Archives of Gerontology and Geriatrics·Akiko AkiyamaHiroshi Mikami
Sep 11, 2009·Geriatrics & Gerontology International·Mitsuru WakunamiMasaji Maezawa
May 21, 2013·Geriatrics & Gerontology International·Leung-Wing ChuSarah M McGhee
May 8, 2010·Geriatrics & Gerontology International·Shunsuke NakamuraNaoki Ishiguro
Jul 13, 2011·Journal of Aging Research·Akiko AkiyamaHiroshi Mikami

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