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Ann Rehabil Med  <  Volume 21(2); 2017 <  Articles

Ann Geriatr Med Res 2017; 21(2): 49-55  https://doi.org/10.4235/agmr.2017.21.2.49
Attitudes and Opinions of Elderly Patients and Family Caregivers on End-of-Life Care Discussion
Su-Jin Koh1, Shinmi Kim2, Jeanno Park3, Ka Eun Park4
1Department of Hematology and Oncology, Ulsan University Hospital, Ulsan University College of Medicine, Ulsan, 2Department of Nursing, Changwon National University, Changwon, 3Bobath Memorial Hospital, Seongnam, 4Ulsan University Hospital, Ulsan, Korea
Correspondence to: Shinmi Kim, RN, PhD
Department of Nursing, Changwon National University, 20 Changwondaehak-ro, Uichang-gu Changwon 51140, Korea
Tel: +82-55-213-3571 Fax:+82-55-213-3579 E-mail: skim@changwon.ac.kr
Received: May 12, 2017; Revised: June 20, 2017; Accepted: June 20, 2017; Published online: June 30, 2017.
© The Korea Geriatrics Society. All rights reserved.

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: End-of-life (EOL) care decisions have become an urgent issue in Korea in response to recent legislation called the Life-Sustaining Treatment Decision Act of 2016. The present study attempted to explore attitudes and opinions on EOL discussion among elderly patients and their family caregivers since communication regarding EOL care has been argued to be a major premise leading to the best decision making. Methods: The attitudes and opinions of elderly patients and their family caregivers were solicited through focus group interviews. The final sample consisted of 12 patients and 16 family members. Results: Guided by content analysis, 5 themes were revealed. The identified themes were individual approach for delivering bad news and stakeholders involved in the discussion, contradictory attitudes toward advance care planning, mutual understanding, hope for the EOL care discussion process, and resistance to discussion of hospice-palliative care. Conclusion: Study findings suggested that an approach focusing on the individualized needs of patients and family members is required in EOL care discussion for elderly patients.
Keywords: Elderly, End-of-life care, Communication, Advance care planning


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