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Clinical problems at the end-of-life in a Swedish population including the role of advancing age and physical and cognitive function
Göteborgs universitet.
2008 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 36, no 2, 177-182 p.Article in journal (Refereed) Published
Abstract [en]

Aims: To improve the understanding of specific clinical problems at the end of life, including the role of advancing age, physical function and cognitive function.

Methods: The study is part of an explorative survey of data relevant to end-of-life healthcare services during the last 3 months of life of a randomly selected sample of the population of a Swedish county. Data were selected through retrospective reviews of death certificates and medical records, and comprise information from 12 municipalities and 229 individuals.

Results: A range of prevalent concerns was found. Overall deterioration, urinary incontinence, constipation, impaired skin integrity, anxiety and sleep disturbances were significantly associated with dependency on others for activities of daily living; pulmonary rattles and swallowing disturbances were associated with cognitive disorientation; excepting cough, advancing age did not have significant impacts on these prevalent clinical concerns.

Conclusions: A range of distressing conditions constitute a common pathway for many individuals at or near the end of life. The incorporation of health promotion as a principle of palliative care will probably benefit individuals at the end of life, and includes a proactive focus and emphasis on enhanced well-being at the time of diagnosis of a life-threatening illness. For individuals with physical and cognitive limitations imparting a state of dependency, it is reasonable to provide assurance of care for individuals' specific needs by professionals with both training for and competence in this special and sometimes unique clinical environment.

Place, publisher, year, edition, pages
2008. Vol. 36, no 2, 177-182 p.
Keyword [en]
clinical problems, end of life, health promotion, palliative care, survey, symptoms
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:esh:diva-1949DOI: 10.1177/1403494807085375OAI: oai:DiVA.org:esh-1949DiVA: diva2:586334
Available from: 2013-01-11 Created: 2013-01-11 Last updated: 2015-04-09Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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  • de-DE
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  • nn-NB
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  • Other locale
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Output format
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