Symptom management in the older adult

Brown, Jennifer A.; Roenn, Jamie H. Von

doi:10.1016/j.cger.2004.07.002

Cited by 16 publications

(8 citation statements)

References 76 publications

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“…A larger, representative consensus panel of experts from various backgrounds and settings is needed to extend the scope of these findings. However, despite this limitation, medications identified as always appropriate by the consensus panel show substantial overlap with medications identified in other studies as essential in palliative care 24–26 …”

Section: Discussionmentioning

confidence: 99%

“…Rather, it demonstrates the need for and feasibility of such recommendations. Few studies have comprehensively evaluated medication use in palliative care, and most recommendations focus on optimizing quality of life by improving pain and symptom management, 24–26 although withdrawing and withholding any form of medical treatment, including medications, is also an important component of care in advanced disease 27 . Medications no longer appropriate for patients with advanced disease receiving palliative care should be identified to facilitate discontinuation of those that no longer conform with the goals of care 10,23 .…”

Section: Discussionmentioning

confidence: 99%

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Integrating Palliative Medicine into the Care of Persons with Advanced Dementia: Identifying Appropriate Medication Use

Holmes

Sachs

Shega

et al. 2008

J American Geriatrics Society

170

251

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Integrating Palliative Medicine into the Care of Persons with Advanced Dementia: Identifying Appropriate Medication Use

Holmes

Sachs

Shega

et al. 2008

J American Geriatrics Society

170

251

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“…This article updates the 2002 Jamie von Roenn manuscript about “the palliation of commonly observed symptoms in older patients, including pain, neuropsychiatric, gastrointestinal, and respiratory symptoms.” 1 When Palliative Care was last covered in Geriatric Clinics, President George W. Bush had just signed the No Child Left Behind Act, Homeland Security was being established, Michael Jackson won the Artist of the Century Award at the American Music Awards, and gas cost $1.61 a gallon. What has changed in the last decade and a half?…”

Section: Tablementioning

confidence: 99%

Symptom Management in the Older Adult

Smith

2015

Clinics in Geriatric Medicine

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“…Firstly, dyspnoea has been identified by a number of authors as occurring frequently in dying people (Brown, & Von Roenn, 2004;Goodridge, Bond, Cameron & McKean, 2005;Hall et al, 2002). For example, Goodridge et al (2005) identified dyspnoea in most of the 15 deaths the authors reviewed over a six month period.…”

Section: The End Of Life Symptom Of Dyspnoeamentioning

confidence: 99%

“…Delirium is reported to occur in up to 85% of people toward the end of life and it is recommended that "to manage delirium in terminally ill patients, clinicians must be able to diagnose it accurately, undertake appropriate assessment of underlying causes, and understand the benefits and risks of the available pharmacological and non-pharmacological interventions" (Brietbart & Alici, 2008, p. 2898Brown & Von Roenn, 2004). …”

Section: The End Of Life Symptom Of Deliriummentioning

confidence: 99%

Dying in a rural residential aged care facility: An action research and reflection project to improve end‐of‐life care to residents with a non‐malignant disease

Rowley

Taylor

2011

Int J of Nursing Practice

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Rowley, J 2010, 'Dying in a rural residential aged care facility: an action research and reflection project to improve end of life care to residents with a non-malignant disease ', PhD thesis, Southern Cross University, Lismore, NSW. THESIS DECLARATIONI certify that the work presented in this thesis is, to the best of my knowledge and belief, original, expect as acknowledged in the text, and the material has not been submitted, either in whole or in part, for a degree at this or any other University. Special thanks, is reserved for my husband Greg, whose loving, extensive support helped me to achieve completion. In addition, to our children Dylan and Amber, who lovingly supported me throughout this journey.This thesis is dedicated to the memory of my father, Donald Raymond Riley.iii ABSTRACT This qualitative research explored end of life care provided to people dying with a non malignant disease in two Australian rural, residential aged care facilities.Residential aged care facilities provide end of life care for many people dying from non malignant diseases. The illness trajectory in non malignant diseases can be difficult to predict and symptom management can be challenging.Further, as the Australian population ages, the demand for optimal end of life care for frail, older people is anticipated to increase. Therefore, this study aimed to explore issues as identified by nurses and relatives of residents dying from a non malignant disease in order to examine ways in which nurses can provide nursing care that maximises the likelihood of a good death, identify the barriers nurses perceive to prevent optimal end of life care to dying residents, and explore the relationships between nurses and relatives of the dying resident, with the intention of improving care.Following ethical clearance, 14 aged care staff overall within both facilities were recruited to the project. Participants included Registered Nurses, Enrolled Nurses, Assistants in Nursing and other aged care staff personnel, all of whom were in a carer relationship with a dying resident. In addition, eight relatives of dying residents were interviewed, using individual, face to face, semi structured interviews.Taylor's (2006) 13 step action research and reflection method was incorporated into five main phases, including foundation building, reflection on practice iv stories, identifying thematic concerns, action plan creation, implementation and critical reflection. In both facilities, group meetings were held weekly for up to 19 weeks. Data were gathered using combinations of reflective drawing, practice stories, interviews and surveys.Relatives' interview transcripts were incorporated into the nurses' group meetings, so that end of life care issues of importance to relatives were shared, with the intention of assisting the nurses to examine the nature of aged care nursing and relationships that occur with relatives of the dying resident. This project demonstrated that it is possible to establish a working relationship with aged care nurses, with no prio...

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Symptom management in the older adult

Cited by 16 publications

References 76 publications

Integrating Palliative Medicine into the Care of Persons with Advanced Dementia: Identifying Appropriate Medication Use

Integrating Palliative Medicine into the Care of Persons with Advanced Dementia: Identifying Appropriate Medication Use

Symptom Management in the Older Adult

Dying in a rural residential aged care facility: An action research and reflection project to improve end‐of‐life care to residents with a non‐malignant disease

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