Mortality of residentes in Belo Horizonte's in long stay institutions for the elderly: the need for end-of-life care
Notice bibliographique
Résumé
The quality of life implies a process of death also appropriate, in the light of the concept of Good Death - occurring in the right time, with dignity and relief of suffering in its physical, psychic, social and spiritual aspects. This observational study focuses on the way 104 of 116 elderly people institutionalized died in Belo Horizonte, Minas Gerais, Brazil, in the year 2016. The death certificates and the institutional records of these elderly people were used to study the variables associated with the deceased and their family and social environment and identify factors associated with care in the final phase of life. The main social determinant of institutionalization was family insufficiency (notably the absence of a partner), with a history of mistreatment in 23% of the cases. The frequency of cognitive impairment was high at the time of admission to ILPI, as well as advanced age and loss of autonomy for the Basic Activities of Daily Living. The majority of deaths occurred in the aged ones with a profile that coincided with the one that determined the institutionalization: female, white, low schooling and absence of family support (notably a partner), as well as cognitive alterations. The proportional mortality was higher in patients over 80 years. Record deficiencies were observed, including those respecting existing pathologies and presence of geriatric syndromes. The data found indicate probable situations of suffering and qualitative and quantitative inadequacy of the care provided in the quarter preceding the death, with inadequately addressed physical suffering: persistent dyspnea and pain occurred in more than half of the elderly; fatigue and other symptoms had low frequency, probably due to under registration. Family, social and spiritual support was insufficient. Adequate quality of death was only reported in 24% of the participants. These findings confirm the literature data regarding inadequate support provided to people during the dying process. The results point to the need for additional studies, since knowing the main causes of morbidity and mortality in institutionalized elderly will contribute to a better planning of health actions, taking into account their specific needs. It concludes by the importance of discussing the terminality and empowering those responsible for supporting and comforting those who are dying.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,007 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,001 | 0,000 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».