Uncovering Methods and Outcomes of Palliative Care for Geriatric Patients: A Scoping Review

Hartiah Haroen,1 Hasniatisari Harun,2 Citra Windani Mambang Sari,1 Witdiawati Witdiawati1 1Department of Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Indonesia; 2Department of Medical-Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Indones...

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Main Authors: Haroen H, Harun H, Sari CWM, Witdiawati W
Format: Article
Language:English
Published: Dove Medical Press 2023-09-01
Series:Journal of Multidisciplinary Healthcare
Subjects:
Online Access:https://www.dovepress.com/uncovering-methods-and-outcomes-of-palliative-care-for-geriatric-patie-peer-reviewed-fulltext-article-JMDH
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author Haroen H
Harun H
Sari CWM
Witdiawati W
author_facet Haroen H
Harun H
Sari CWM
Witdiawati W
author_sort Haroen H
collection DOAJ
description Hartiah Haroen,1 Hasniatisari Harun,2 Citra Windani Mambang Sari,1 Witdiawati Witdiawati1 1Department of Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Indonesia; 2Department of Medical-Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, IndonesiaCorrespondence: Hartiah Haroen, Department of Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Jl Ir. Soekarno KM. 21, Jatinangor, Sumedang, West Java, 45363, Indonesia, Tel +62812-9454-3843, Fax +62 022 7795596, Email hartiah@unpad.ac.idBackground: Palliative care is an integral part of care for patients with life-limited diseases that focuses on reducing symptoms and maintaining and increasing the quality of life (QoL) for patients and their families. Geriatric patients were more likely to receive palliative care and had unique needs compared to the general population. To improve the quality of palliative care, especially for geriatric patients, it is necessary to have a better understanding of methods and outcomes for geriatric patients when delivering palliative care.Objective: This study aims to identify the methods and outcomes of palliative care in geriatric patients across the globe.Methods: This scoping review was guided by Arksey and ‘O Malley’s framework and utilized the Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) checklist for providing transparent reporting to the readers. EBSCO, PubMed, and Scopus databases were used to search the relevant articles with a publication range of 2013– 2023. Thematic analysis was used to identify and summarize palliative care methods and outcomes for geriatric patients in this review.Results: Twenty-one studies were included in this review, and it was found that there were many types of methods for delivering palliative care to geriatric patients. In both acute care settings and community settings, a wide range of methods for delivering palliative care to geriatric patients were identified. Outcomes of palliative care in geriatric patients in hospitals and community settings, were reduced pain, depressive symptoms and anxiety, edema, constipation, odds of in-hospital death, and increased spiritual well-being, QoL and well-being, being comfortable, patient readiness, place of death, sleep quality, and quality of dying.Conclusion: Geriatric patients had a variety of methods and outcomes in palliative care. This study suggests that outcomes should be evaluated continuously after implementing methods for delivering palliative care to geriatric patients.Keywords: aged, methods, outcomes, palliative care
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spelling doaj.art-3b636ab117cd4ba58d2cba20b85c57552023-09-28T18:12:51ZengDove Medical PressJournal of Multidisciplinary Healthcare1178-23902023-09-01Volume 162905292086989Uncovering Methods and Outcomes of Palliative Care for Geriatric Patients: A Scoping ReviewHaroen HHarun HSari CWMWitdiawati WHartiah Haroen,1 Hasniatisari Harun,2 Citra Windani Mambang Sari,1 Witdiawati Witdiawati1 1Department of Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Indonesia; 2Department of Medical-Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, IndonesiaCorrespondence: Hartiah Haroen, Department of Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Jl Ir. Soekarno KM. 21, Jatinangor, Sumedang, West Java, 45363, Indonesia, Tel +62812-9454-3843, Fax +62 022 7795596, Email hartiah@unpad.ac.idBackground: Palliative care is an integral part of care for patients with life-limited diseases that focuses on reducing symptoms and maintaining and increasing the quality of life (QoL) for patients and their families. Geriatric patients were more likely to receive palliative care and had unique needs compared to the general population. To improve the quality of palliative care, especially for geriatric patients, it is necessary to have a better understanding of methods and outcomes for geriatric patients when delivering palliative care.Objective: This study aims to identify the methods and outcomes of palliative care in geriatric patients across the globe.Methods: This scoping review was guided by Arksey and ‘O Malley’s framework and utilized the Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) checklist for providing transparent reporting to the readers. EBSCO, PubMed, and Scopus databases were used to search the relevant articles with a publication range of 2013– 2023. Thematic analysis was used to identify and summarize palliative care methods and outcomes for geriatric patients in this review.Results: Twenty-one studies were included in this review, and it was found that there were many types of methods for delivering palliative care to geriatric patients. In both acute care settings and community settings, a wide range of methods for delivering palliative care to geriatric patients were identified. Outcomes of palliative care in geriatric patients in hospitals and community settings, were reduced pain, depressive symptoms and anxiety, edema, constipation, odds of in-hospital death, and increased spiritual well-being, QoL and well-being, being comfortable, patient readiness, place of death, sleep quality, and quality of dying.Conclusion: Geriatric patients had a variety of methods and outcomes in palliative care. This study suggests that outcomes should be evaluated continuously after implementing methods for delivering palliative care to geriatric patients.Keywords: aged, methods, outcomes, palliative carehttps://www.dovepress.com/uncovering-methods-and-outcomes-of-palliative-care-for-geriatric-patie-peer-reviewed-fulltext-article-JMDHagedmethodsoutcomespalliative care
spellingShingle Haroen H
Harun H
Sari CWM
Witdiawati W
Uncovering Methods and Outcomes of Palliative Care for Geriatric Patients: A Scoping Review
Journal of Multidisciplinary Healthcare
aged
methods
outcomes
palliative care
title Uncovering Methods and Outcomes of Palliative Care for Geriatric Patients: A Scoping Review
title_full Uncovering Methods and Outcomes of Palliative Care for Geriatric Patients: A Scoping Review
title_fullStr Uncovering Methods and Outcomes of Palliative Care for Geriatric Patients: A Scoping Review
title_full_unstemmed Uncovering Methods and Outcomes of Palliative Care for Geriatric Patients: A Scoping Review
title_short Uncovering Methods and Outcomes of Palliative Care for Geriatric Patients: A Scoping Review
title_sort uncovering methods and outcomes of palliative care for geriatric patients a scoping review
topic aged
methods
outcomes
palliative care
url https://www.dovepress.com/uncovering-methods-and-outcomes-of-palliative-care-for-geriatric-patie-peer-reviewed-fulltext-article-JMDH
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