Conspiración de silencio: diferencias en la información al anciano frente al paciente joven

Cajoto, I. Villamil; Vázquez, Lucía Balea; Pérez, Alicia Álvarez; Lamas, Carmen Martínez

doi:10.20986/medpal.2020.1126/2019

Cited by 1 publication

(5 citation statements)

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“…The conspiracy of silence mainly consists of a triangular structure of its participants (patient, family, and professionals) [ 2 , 3 , 9 , 11 , 12 , 16 ], although other sources in the literature point out the importance of the healthcare institutions [ 11 ] themselves, as well as the effect and weight of the socio-cultural context [ 7 , 14 , 30 ]. The decision on the location of care has the same participants, with this aspect a priori being very similar in both processes.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, even if it seems that this is well studied in children, clinical experience seems to point out that it frequently appears in adults [ 2 ] too. In fact, more specifically, according to the literature, it seems that age is an important factor to conceal information [ 7 , 31 ]; Villamil Cajoto [ 7 ] points out that in palliative care there seems to be a disabling trend mainly among the older people population, which, if linked to the fact that the information about a terminal condition is usually concealed, makes management more difficult [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…This phenomenon also presents at different levels, as it may be partial or total [ 6 , 7 ]. The partial level occurs when the patient knows their diagnosis, but not their prognosis [ 6 , 7 ]. While the total level the patient does not know either [ 6 , 7 ], either if they deduce their actual state or not [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…The partial level occurs when the patient knows their diagnosis, but not their prognosis [ 6 , 7 ]. While the total level the patient does not know either [ 6 , 7 ], either if they deduce their actual state or not [ 6 ]. In addition, this phenomenon may be adaptive or maladaptive [ 1 , 6 , 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Avoidant Coping of the Decision-Making Process on the Location of Care in Old Age: A Possible Conspiracy of Silence?

Serrano-Gemes

Gil

Coelho

et al. 2021

IJERPH

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The conspiracy of silence is extremely important due to both its high incidence and its consequences. This process usually occurs in situations of palliative care, or death; however, this concept is also mentioned in the literature linked to other contexts. Therefore, our objective was to study whether the conspiracy of silence may be extrapolated to the context of decision-making on the location of care in old age. To this end, we first analyzed the in-depth semi structured qualitative interviews conducted with older people, caregivers, and professionals, about decision-making on the location of care in old age. Subsequently, a comparative analysis was performed between the basic elements of the conspiracy of silence and this decision-making. Our findings revealed an avoidance process developed by all three groups. Furthermore, this decision-making presents similarities with the conspiracy of silence in the process of avoidance coping and denial that is developed. However, there are significant differences, as information is not withheld from the older person, who has an active attitude in the process of avoidance. Decision-making on the location of care in old age does not exactly match the conspiracy of silence process, but it does seem to correspond to a pact of silence.

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