Care Toward the End of Life in Older Populations and Its Implementation Facilitators and Barriers: A Scoping Review

End of life care is the process of caring for the medical, social, emotional and spiritual needs of people who are approaching their end of life

Diane Erin Threapleton; Roger Y. Chung; Samuel Y.S. Wong; Eliza L.Y. Wong; Nicole Kiang; Patsy Y.K. Chau; Jean Woo; Vincent C.H. Chung; Eng Kiong Yeoh

2017

Scholarcy highlights

  • End of life care is the process of caring for the medical, social, emotional and spiritual needs of people who are approaching their end of life
  • Quality EOL care for older populations requires many core components but the local context and implementation issues may determine if these elements can be incorporated into the system to improve care
  • For the purpose of this paper, we refer to care models that are appropriate to both EOL patients and to older patients who may be nearing the last phase of their life; the term ‘EOL patients’ will be used for simplicity
  • Three relevant publications were identified from a search of the Cochrane Library, and 10 other reports were identified through internet searches and from institutional websites
  • 35 reports and reviews were included in this rapid scoping review to identify important components and issues in EOL care
  • Evidence for implementation issues for each identified theme was supplemented in later searches, and additional articles are cited to support the summaries of each care component
  • Changes at the macro-level, meso-level and micro-level will be required to successfully implement service changes to provide holistic and person-centered End of life care for elderly populations

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