OLDER PEOPLE’S PREFERENCES FOR SELF-INVOLVEMENT IN DECISION-MAKING IF FACED WITH SERIOUS ILLNESS
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| Format: | Artículo científico |
| Sprache: | en |
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Sociedade Brasileira de Geriatria e Gerontologia
2020
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| author | Rafaela Jorge |
| author_facet | Rafaela Jorge |
| contents | OLDER PEOPLE’S PREFERENCES FOR SELF-INVOLVEMENT IN DECISION-MAKING IF FACED WITH SERIOUS ILLNESS Rafaela Jorge Natália Calanzani Adelaide Freitas Rui Nunes Liliana Sousa Multidisciplinaria (Ciencias Naturales y Exactas) Aged palliative care decision making mental competency OBJECTIVES: To examine older people’s preferences for self-involvement in end-of-life care decision-making in scenarios of mental capacity (competency) and incapacity, and to identify associated factors. METHODS: A cross-sectional survey was conducted including 400 individuals aged 60+ years living in the city of Belo Horizonte, Brazil. RESULTS: Among 400 respondents, 95.3% preferred self-involvement when capable (due to the high percentage, associated factors were not calculated) and 64.5% preferred self-involvement when incapable through, for example, a living will. Considering that participants could choose multiple answers, the most frequent combinations in the capacity scenario were “yourself” and “other relatives” (76.8%) and “yourself” and “the doctor” (67.8%). In the incapacity scenario, the most frequent combinations were “yourself” and “other relatives” (usually their children and, less often, their grandchildren) (59.3%) and “yourself” and “the doctor” (48.5%). Three factors were associated with a preference for self-involvement in an incapacity scenario. Those who were married or had a partner (widowed; adjusted odds ratio [AOR] = 0.37; 95% confidence interval [CI] 0.19–0.68) and those who were male (female; AOR = 0.62; 95%CI 0.38–1.00) were less likely to prefer self-involvement. Those who were younger, as in age bands 60-69 years (80+; AOR = 2.35; 95%CI 1.20–4.58) and 70–79 years (80+; AOR = 2.45; 95%CI 1.21–4.94), were more likely to prefer self-involvement. CONCLUSIONS: Most participants preferred self-involvement in both scenarios of capacity and incapacity. Preference for self-involvement was higher in the scenario of capacity, while preference for the involvement of other relatives (usually their children) was greater in the scenario of incapacity. 2020 artículo científico 2447-2115 https://www.redalyc.org/articulo.oa?id=739780748003 en http://www.redalyc.org/revista.oa?id=7397 Geriatrics, Gerontology and Aging application/pdf Sociedade Brasileira de Geriatria e Gerontologia Geriatrics, Gerontology and Aging (Brasil) Num.2 Vol.14 |
| format | Artículo científico |
| id | redalyc_739780748003 |
| institution | Redalyc |
| language | en |
| publishDate | 2020 |
| publisher | Sociedade Brasileira de Geriatria e Gerontologia |
| spellingShingle | OLDER PEOPLE’S PREFERENCES FOR SELF-INVOLVEMENT IN DECISION-MAKING IF FACED WITH SERIOUS ILLNESS Rafaela Jorge Multidisciplinaria (Ciencias Naturales y Exactas) Aged palliative care decision making mental competency OLDER PEOPLE’S PREFERENCES FOR SELF-INVOLVEMENT IN DECISION-MAKING IF FACED WITH SERIOUS ILLNESS Rafaela Jorge Natália Calanzani Adelaide Freitas Rui Nunes Liliana Sousa Multidisciplinaria (Ciencias Naturales y Exactas) Aged palliative care decision making mental competency OBJECTIVES: To examine older people’s preferences for self-involvement in end-of-life care decision-making in scenarios of mental capacity (competency) and incapacity, and to identify associated factors. METHODS: A cross-sectional survey was conducted including 400 individuals aged 60+ years living in the city of Belo Horizonte, Brazil. RESULTS: Among 400 respondents, 95.3% preferred self-involvement when capable (due to the high percentage, associated factors were not calculated) and 64.5% preferred self-involvement when incapable through, for example, a living will. Considering that participants could choose multiple answers, the most frequent combinations in the capacity scenario were “yourself” and “other relatives” (76.8%) and “yourself” and “the doctor” (67.8%). In the incapacity scenario, the most frequent combinations were “yourself” and “other relatives” (usually their children and, less often, their grandchildren) (59.3%) and “yourself” and “the doctor” (48.5%). Three factors were associated with a preference for self-involvement in an incapacity scenario. Those who were married or had a partner (widowed; adjusted odds ratio [AOR] = 0.37; 95% confidence interval [CI] 0.19–0.68) and those who were male (female; AOR = 0.62; 95%CI 0.38–1.00) were less likely to prefer self-involvement. Those who were younger, as in age bands 60-69 years (80+; AOR = 2.35; 95%CI 1.20–4.58) and 70–79 years (80+; AOR = 2.45; 95%CI 1.21–4.94), were more likely to prefer self-involvement. CONCLUSIONS: Most participants preferred self-involvement in both scenarios of capacity and incapacity. Preference for self-involvement was higher in the scenario of capacity, while preference for the involvement of other relatives (usually their children) was greater in the scenario of incapacity. 2020 artículo científico 2447-2115 https://www.redalyc.org/articulo.oa?id=739780748003 en http://www.redalyc.org/revista.oa?id=7397 Geriatrics, Gerontology and Aging application/pdf Sociedade Brasileira de Geriatria e Gerontologia Geriatrics, Gerontology and Aging (Brasil) Num.2 Vol.14 |
| title | OLDER PEOPLE’S PREFERENCES FOR SELF-INVOLVEMENT IN DECISION-MAKING IF FACED WITH SERIOUS ILLNESS |
| topic | Multidisciplinaria (Ciencias Naturales y Exactas) Aged palliative care decision making mental competency |
| url | https://www.redalyc.org/articulo.oa?id=739780748003 |