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Conference Paper: Development and evaluation of a novel dignity-conserving End-of-life Care (EoL) model for nursing homes in the Hong Kong Chinese context

TitleDevelopment and evaluation of a novel dignity-conserving End-of-life Care (EoL) model for nursing homes in the Hong Kong Chinese context
Authors
KeywordsGerontology and geriatrics
Issue Date2014
PublisherOxford University Press. The Journal's web site is located at http://gerontologist.gerontologyjournals.org
Citation
The 67th Annual Scientific Meeting of the Gerontological Society of America (GSA 2014), Washington DC., 5-9 November 2014. In The Gerontologist, 2014, v. 54 suppl. 2, p. 705 How to Cite?
AbstractOBJECTIVES: To understand the programme structures and implementation mechanisms of a novel Dignity-Conserving End-of-Life Care (EoL) Model for Nursing Homes in Hong Kong; To identify ways in which a novel Dignity-Conserving EoL Care model serves to enhance Chinese older nursing home residents’ dignity and quality of life at the end-of-life; To appreciate the imperative integration between end-of-life care and long-term-care through appropriate care coordination and management, family-centered care as well as physical-psycho-socio-spiritual Support ABSTRACT BODY: BACKGROUND: The provision of end-of-life (EoL) care in long-term-care settings remains largely underdeveloped in Hong Kong, China and other Asian regions, and older nursing home residents often fail to obtain good care as they approach death. OBJECTIVE: This research systematically describes the development and implementation mechanisms of a novel Dignity-Conserving EoL Care model that has been successfully adopted by three nursing homes in Hong Kong, and presents preliminary evidence of its effectiveness on improving the quality of life (QoL) of terminally-ill residents. METHODS: Nine terminally-ill nursing home residents (Mean-age=92years, SD=7.54, Range=82–102years) completed the McGill Quality of Life Questionnaire and the Nursing Facilities Quality of Life Questionnaire at baseline and 6-months post EoL programme enrollment. Wilcoxon signed rank test was used to detect significance changes in each QoL domains across time. Results: Although significant deterioration was recorded for Physical QOL (pre=1.83, post=1.31; z=2.19, p<0.05), significant improvement was observed for Social QoL (pre=2.16, post=2.60; z=2.26, p<0.05). Moreover, a clear trend towards significant improvements was identified for the QoL domains of Individuality (pre=2.33, post=2.63; z=1.78, p=0.075) and Relationships (pre=2.11, post=2.40; z=1.88, p<0.061). CONCLUSION: A holistic and compassionate caring environment, together with the core principles of family-centered care, inter-agency and interdisciplinary teamwork, as well as cultural-specific psycho-socio-spiritual support, are all essential elements for optimizing quality of life and promoting death with dignity for older nursing home residents facing morality. This study provides a useful framework to facilitate the future development of end-of-life care in long-term-care settings in the Chinese context.
DescriptionMeeting Theme: Making Connections: From Cells to Societies
This free journal suppl. entitled: 2014 GSA Annual Scientific Meeting Abstracts
Poster no. 364
Persistent Identifierhttp://hdl.handle.net/10722/218537
ISSN
2015 Impact Factor: 3.168
2015 SCImago Journal Rankings: 1.584

 

DC FieldValueLanguage
dc.contributor.authorHo, AHY-
dc.contributor.authorDai, A-
dc.contributor.authorLou, V-
dc.date.accessioned2015-09-18T06:42:58Z-
dc.date.available2015-09-18T06:42:58Z-
dc.date.issued2014-
dc.identifier.citationThe 67th Annual Scientific Meeting of the Gerontological Society of America (GSA 2014), Washington DC., 5-9 November 2014. In The Gerontologist, 2014, v. 54 suppl. 2, p. 705-
dc.identifier.issn0016-9013-
dc.identifier.urihttp://hdl.handle.net/10722/218537-
dc.descriptionMeeting Theme: Making Connections: From Cells to Societies-
dc.descriptionThis free journal suppl. entitled: 2014 GSA Annual Scientific Meeting Abstracts-
dc.descriptionPoster no. 364-
dc.description.abstractOBJECTIVES: To understand the programme structures and implementation mechanisms of a novel Dignity-Conserving End-of-Life Care (EoL) Model for Nursing Homes in Hong Kong; To identify ways in which a novel Dignity-Conserving EoL Care model serves to enhance Chinese older nursing home residents’ dignity and quality of life at the end-of-life; To appreciate the imperative integration between end-of-life care and long-term-care through appropriate care coordination and management, family-centered care as well as physical-psycho-socio-spiritual Support ABSTRACT BODY: BACKGROUND: The provision of end-of-life (EoL) care in long-term-care settings remains largely underdeveloped in Hong Kong, China and other Asian regions, and older nursing home residents often fail to obtain good care as they approach death. OBJECTIVE: This research systematically describes the development and implementation mechanisms of a novel Dignity-Conserving EoL Care model that has been successfully adopted by three nursing homes in Hong Kong, and presents preliminary evidence of its effectiveness on improving the quality of life (QoL) of terminally-ill residents. METHODS: Nine terminally-ill nursing home residents (Mean-age=92years, SD=7.54, Range=82–102years) completed the McGill Quality of Life Questionnaire and the Nursing Facilities Quality of Life Questionnaire at baseline and 6-months post EoL programme enrollment. Wilcoxon signed rank test was used to detect significance changes in each QoL domains across time. Results: Although significant deterioration was recorded for Physical QOL (pre=1.83, post=1.31; z=2.19, p<0.05), significant improvement was observed for Social QoL (pre=2.16, post=2.60; z=2.26, p<0.05). Moreover, a clear trend towards significant improvements was identified for the QoL domains of Individuality (pre=2.33, post=2.63; z=1.78, p=0.075) and Relationships (pre=2.11, post=2.40; z=1.88, p<0.061). CONCLUSION: A holistic and compassionate caring environment, together with the core principles of family-centered care, inter-agency and interdisciplinary teamwork, as well as cultural-specific psycho-socio-spiritual support, are all essential elements for optimizing quality of life and promoting death with dignity for older nursing home residents facing morality. This study provides a useful framework to facilitate the future development of end-of-life care in long-term-care settings in the Chinese context.-
dc.languageeng-
dc.publisherOxford University Press. The Journal's web site is located at http://gerontologist.gerontologyjournals.org-
dc.relation.ispartofThe Gerontologist-
dc.rightsPre-print: Journal Title] ©: [year] [owner as specified on the article] Published by Oxford University Press [on behalf of xxxxxx]. All rights reserved. Pre-print (Once an article is published, preprint notice should be amended to): This is an electronic version of an article published in [include the complete citation information for the final version of the Article as published in the print edition of the Journal.] Post-print: This is a pre-copy-editing, author-produced PDF of an article accepted for publication in [insert journal title] following peer review. The definitive publisher-authenticated version [insert complete citation information here] is available online at: xxxxxxx [insert URL that the author will receive upon publication here].-
dc.subjectGerontology and geriatrics-
dc.titleDevelopment and evaluation of a novel dignity-conserving End-of-life Care (EoL) model for nursing homes in the Hong Kong Chinese context-
dc.typeConference_Paper-
dc.identifier.emailHo, AHY: andyho@hku.hk-
dc.identifier.emailDai, A: taiannie@hku.hk-
dc.identifier.emailLou, V: wlou@hku.hk-
dc.identifier.authorityHo, AHY=rp00650-
dc.identifier.authorityLou, V=rp00607-
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1093/geront/gnu106-
dc.identifier.hkuros251210-
dc.identifier.volume54-
dc.identifier.issuesuppl. 2-
dc.identifier.spage705-
dc.identifier.epage705-
dc.publisher.placeUnited States-

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