Exploring a Nursing Home-Specific Interdisciplinary Approach: Toward Palliative Care for the Demented and Complex-Disabled Elderly

Min Sun Park, Su Jung Lee, Sung Ok Chang

Research output: Contribution to journalArticle

Abstract

The number of elderly suffering from dementia and complex disabilities is gradually increasing in nursing homes, and they form a differentiated group that requires palliative care provided by practitioners in various disciplines from the time of their admission to improve the quality of their remaining lives. The purpose of this study was to explore an interdisciplinary care approach by nurses and related practitioners for the demented and complex-disabled elderly in nursing homes that focuses on palliative care based on an ethical point of view. A qualitative thematic analysis was conducted through in-depth interviews of 29 interdisciplinary practitioners working at 5 nursing homes. From them, 3 themes and 9 subthemes were extracted as the key results. First, practitioners set up cooperative care plans based on constantly tracking down clues to gradual functional deteriorations. Second, practitioners establish a cooperative committee to link residents and practitioners for responding to the subtle expressions of the elderly. Finally, practitioners maximize the opportunities for improving the quality of the elderly's remaining lives. These results can be the basis for the first prototype in developing interdisciplinary practical guidelines for nursing home-specific palliative care and can provide new insights for the practical care concept of palliative care.

Original languageEnglish
Pages (from-to)E9-E15
JournalJournal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association
Volume21
Issue number6
DOIs
Publication statusPublished - 2019 Dec 1

Fingerprint

Nursing Homes
Palliative Care
Practical Nursing
Nurse Practitioners
Psychological Stress
Dementia
Guidelines
Interviews

ASJC Scopus subject areas

  • Community and Home Care
  • Advanced and Specialised Nursing

Cite this

@article{08450e405cc3463eb525854bfcee9dd6,
title = "Exploring a Nursing Home-Specific Interdisciplinary Approach: Toward Palliative Care for the Demented and Complex-Disabled Elderly",
abstract = "The number of elderly suffering from dementia and complex disabilities is gradually increasing in nursing homes, and they form a differentiated group that requires palliative care provided by practitioners in various disciplines from the time of their admission to improve the quality of their remaining lives. The purpose of this study was to explore an interdisciplinary care approach by nurses and related practitioners for the demented and complex-disabled elderly in nursing homes that focuses on palliative care based on an ethical point of view. A qualitative thematic analysis was conducted through in-depth interviews of 29 interdisciplinary practitioners working at 5 nursing homes. From them, 3 themes and 9 subthemes were extracted as the key results. First, practitioners set up cooperative care plans based on constantly tracking down clues to gradual functional deteriorations. Second, practitioners establish a cooperative committee to link residents and practitioners for responding to the subtle expressions of the elderly. Finally, practitioners maximize the opportunities for improving the quality of the elderly's remaining lives. These results can be the basis for the first prototype in developing interdisciplinary practical guidelines for nursing home-specific palliative care and can provide new insights for the practical care concept of palliative care.",
author = "Park, {Min Sun} and Lee, {Su Jung} and Chang, {Sung Ok}",
year = "2019",
month = "12",
day = "1",
doi = "10.1097/NJH.0000000000000579",
language = "English",
volume = "21",
pages = "E9--E15",
journal = "Journal of Hospice and Palliative Nursing",
issn = "1522-2179",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - Exploring a Nursing Home-Specific Interdisciplinary Approach

T2 - Toward Palliative Care for the Demented and Complex-Disabled Elderly

AU - Park, Min Sun

AU - Lee, Su Jung

AU - Chang, Sung Ok

PY - 2019/12/1

Y1 - 2019/12/1

N2 - The number of elderly suffering from dementia and complex disabilities is gradually increasing in nursing homes, and they form a differentiated group that requires palliative care provided by practitioners in various disciplines from the time of their admission to improve the quality of their remaining lives. The purpose of this study was to explore an interdisciplinary care approach by nurses and related practitioners for the demented and complex-disabled elderly in nursing homes that focuses on palliative care based on an ethical point of view. A qualitative thematic analysis was conducted through in-depth interviews of 29 interdisciplinary practitioners working at 5 nursing homes. From them, 3 themes and 9 subthemes were extracted as the key results. First, practitioners set up cooperative care plans based on constantly tracking down clues to gradual functional deteriorations. Second, practitioners establish a cooperative committee to link residents and practitioners for responding to the subtle expressions of the elderly. Finally, practitioners maximize the opportunities for improving the quality of the elderly's remaining lives. These results can be the basis for the first prototype in developing interdisciplinary practical guidelines for nursing home-specific palliative care and can provide new insights for the practical care concept of palliative care.

AB - The number of elderly suffering from dementia and complex disabilities is gradually increasing in nursing homes, and they form a differentiated group that requires palliative care provided by practitioners in various disciplines from the time of their admission to improve the quality of their remaining lives. The purpose of this study was to explore an interdisciplinary care approach by nurses and related practitioners for the demented and complex-disabled elderly in nursing homes that focuses on palliative care based on an ethical point of view. A qualitative thematic analysis was conducted through in-depth interviews of 29 interdisciplinary practitioners working at 5 nursing homes. From them, 3 themes and 9 subthemes were extracted as the key results. First, practitioners set up cooperative care plans based on constantly tracking down clues to gradual functional deteriorations. Second, practitioners establish a cooperative committee to link residents and practitioners for responding to the subtle expressions of the elderly. Finally, practitioners maximize the opportunities for improving the quality of the elderly's remaining lives. These results can be the basis for the first prototype in developing interdisciplinary practical guidelines for nursing home-specific palliative care and can provide new insights for the practical care concept of palliative care.

UR - http://www.scopus.com/inward/record.url?scp=85074551781&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85074551781&partnerID=8YFLogxK

U2 - 10.1097/NJH.0000000000000579

DO - 10.1097/NJH.0000000000000579

M3 - Article

C2 - 31162151

AN - SCOPUS:85074551781

VL - 21

SP - E9-E15

JO - Journal of Hospice and Palliative Nursing

JF - Journal of Hospice and Palliative Nursing

SN - 1522-2179

IS - 6

ER -