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Revista Médica Sinergia

2021, Number 03

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Revista Médica Sinergia 2021; 6 (03)

Comparison of a palliative model and geriatric model in the quality of death in a population of a home visitation program with advanced dementia

Picado OJE, Parra PFJ, Ruiz RJ

Language: Spanish
References: 25
Page: 1-12
PDF size: 312.56 Kb.


ABSTRACT

Introduction: older adults with advanced dementia are a growing population group with particular needs. It is unclear which model of care can generate a better quality of death. Objective : to Compare the impact of the palliative treatment model against geriatrics on the quality of death in patients with advanced dementia. Methodology: the Quality of Dying and Death Questionnaire was applied to caregivers of patients who had died in the years 2016 to 2018 and that the diagnosis of entry into the program was that of advanced dementia. Two groups were generated depending on the program that performed the homecare, either the palliative care program or the geriatrics program. A descriptive analysis of both groups is performed. The overall total of the questionnaire is evaluated, as well as each of the constituent parts. Results: there were 162 interviews, 125 from the caregivers of the geriatric program and 37 from the palliative program. Patients died usually with controlled pain, with little awareness of what was going on around, breathing comfortably, calmly, without fear of dying, without worries about being a burden to the family, spending time with their friends and receiving affection from their loved ones. Expenses, funeral arrangements, and the visit of a spiritual advisor were given appropriately in both groups. The death quality rate and attention satisfaction were quite high. There were no significant differences between the two groups. Conclusion: the degree of satisfaction in attention on the part of both groups was very good without significant differences. Further research should be done in this population to provide an optimal model appropriate for your needs.


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