End of life treatment decisions in people with dementia: carers' views and the factors which influence them
Objective. Treatment decisions in life threatening situations (TD) are poorly studied in people with dementia. Method. The carers of people with dementia were asked four TD questions, pertaining to cardiac resuscitation, intravenous fluids, oral antibiotics and intravenous antibiotics. The impact of...
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| Veröffentlicht in: | International journal of geriatric psychiatry 2000-11, Vol.15 (11), p.1005-1008 |
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| container_title | International journal of geriatric psychiatry |
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| creator | Potkins, Dawn Bradley, Sonia Shrimanker, Jay O'Brien, John Swann, Alan Ballard, Clive |
| description | Objective. Treatment decisions in life threatening situations (TD) are poorly studied in people with dementia.
Method. The carers of people with dementia were asked four TD questions, pertaining to cardiac resuscitation, intravenous fluids, oral antibiotics and intravenous antibiotics. The impact of key variables (age, dementia severity, psychiatric co‐morbidity, physical illness, family relationship of carer) on TD were evaluated.
Results. Fifty carers participated, 46% wanted cardiac resuscitation, 60% wanted treatment with intravenous fluids, 52% wanted treatment with intravenous antibiotics and 60% wanted treatment with oral antibiotics. Agreement between questions was high (76 – 89%), suggesting that relatives were either for or against intervention. There was an association between more severe dementia and a reduced wish for intravenous antibiotics. None of the variables significantly influenced other TD.
Conclusion. The ‘global’ view of carers, was not influenced greatly by key disease variables. There are potential implications for the way in which carers are used as proxy decision makers. Copyright © 2000 John Wiley & Sons, Ltd. |
| doi_str_mv | 10.1002/1099-1166(200011)15:11<1005::AID-GPS223>3.0.CO;2-0 |
| format | Article |
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Method. The carers of people with dementia were asked four TD questions, pertaining to cardiac resuscitation, intravenous fluids, oral antibiotics and intravenous antibiotics. The impact of key variables (age, dementia severity, psychiatric co‐morbidity, physical illness, family relationship of carer) on TD were evaluated.
Results. Fifty carers participated, 46% wanted cardiac resuscitation, 60% wanted treatment with intravenous fluids, 52% wanted treatment with intravenous antibiotics and 60% wanted treatment with oral antibiotics. Agreement between questions was high (76 – 89%), suggesting that relatives were either for or against intervention. There was an association between more severe dementia and a reduced wish for intravenous antibiotics. None of the variables significantly influenced other TD.
Conclusion. The ‘global’ view of carers, was not influenced greatly by key disease variables. There are potential implications for the way in which carers are used as proxy decision makers. Copyright © 2000 John Wiley & Sons, Ltd.</description><identifier>ISSN: 0885-6230</identifier><identifier>EISSN: 1099-1166</identifier><identifier>DOI: 10.1002/1099-1166(200011)15:11<1005::AID-GPS223>3.0.CO;2-0</identifier><identifier>PMID: 11113979</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Aged ; Aged, 80 and over ; Alzheimer Disease - psychology ; Biological and medical sciences ; Caregivers - psychology ; carers ; Decision Making ; dementia ; end of life decisions ; Ethics ; Female ; Humans ; Legal Guardians - psychology ; Life Support Care - psychology ; Male ; Medical sciences ; Nervous system (semeiology, syndromes) ; Nervous system as a whole ; Neurology ; Resuscitation Orders - psychology</subject><ispartof>International journal of geriatric psychiatry, 2000-11, Vol.15 (11), p.1005-1008</ispartof><rights>Copyright © 2000 John Wiley & Sons, Ltd.</rights><rights>2001 INIST-CNRS</rights><rights>Copyright 2000 John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c4573-96c0cc7e7e872e97b16a8162b00c1a39c8d738f433c3480f6c2066a7ba33d4043</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2F1099-1166%28200011%2915%3A11%3C1005%3A%3AAID-GPS223%3E3.0.CO%3B2-0$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2F1099-1166%28200011%2915%3A11%3C1005%3A%3AAID-GPS223%3E3.0.CO%3B2-0$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=949365$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11113979$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Potkins, Dawn</creatorcontrib><creatorcontrib>Bradley, Sonia</creatorcontrib><creatorcontrib>Shrimanker, Jay</creatorcontrib><creatorcontrib>O'Brien, John</creatorcontrib><creatorcontrib>Swann, Alan</creatorcontrib><creatorcontrib>Ballard, Clive</creatorcontrib><title>End of life treatment decisions in people with dementia: carers' views and the factors which influence them</title><title>International journal of geriatric psychiatry</title><addtitle>Int. J. Geriat. Psychiatry</addtitle><description>Objective. Treatment decisions in life threatening situations (TD) are poorly studied in people with dementia.
Method. The carers of people with dementia were asked four TD questions, pertaining to cardiac resuscitation, intravenous fluids, oral antibiotics and intravenous antibiotics. The impact of key variables (age, dementia severity, psychiatric co‐morbidity, physical illness, family relationship of carer) on TD were evaluated.
Results. Fifty carers participated, 46% wanted cardiac resuscitation, 60% wanted treatment with intravenous fluids, 52% wanted treatment with intravenous antibiotics and 60% wanted treatment with oral antibiotics. Agreement between questions was high (76 – 89%), suggesting that relatives were either for or against intervention. There was an association between more severe dementia and a reduced wish for intravenous antibiotics. None of the variables significantly influenced other TD.
Conclusion. The ‘global’ view of carers, was not influenced greatly by key disease variables. There are potential implications for the way in which carers are used as proxy decision makers. Copyright © 2000 John Wiley & Sons, Ltd.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alzheimer Disease - psychology</subject><subject>Biological and medical sciences</subject><subject>Caregivers - psychology</subject><subject>carers</subject><subject>Decision Making</subject><subject>dementia</subject><subject>end of life decisions</subject><subject>Ethics</subject><subject>Female</subject><subject>Humans</subject><subject>Legal Guardians - psychology</subject><subject>Life Support Care - psychology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Nervous system as a whole</subject><subject>Neurology</subject><subject>Resuscitation Orders - psychology</subject><issn>0885-6230</issn><issn>1099-1166</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkV2LEzEUhgdR3Lr6FyQg6HoxNR8zyaTKwlJ360Kx6ip7eUgzZ2jc-ajJ1Lr_3gwd6o0g5iKBvO95zuG8STJjdMoo5W8Y1TplTMozTill7DXLZ4y9i1o-m11cv08Xn244F-diSqfz1Vue0gfJ5Fj0MJnQoshTyQU9SZ6E8D1CtGbF4-SExSO00pPk7rItSVeR2lVIeo-mb7DtSYnWBde1gbiWbLHb1kj2rt9EYdCdmRFrPPrwivx0uA_EREy_QVIZ23c-kP3G2U0sruodthYHrXmaPKpMHfDZ-J4m364uv84_pMvV4np-sUxtliuRammptQoVFoqjVmsmTcEkX1NqmRHaFqUSRZUJYUVW0EpaTqU0am2EKDOaidPk5YG79d2PHYYeGhcs1rVpsdsFUDxTeSH1P42cMcq4yqPxy8FofReCxwq23jXG3wOjMGQFw9phWDscsgKWw3DHrABiVnDICgRQmK-AA43Q52P33brB8g9yDCcaXowGE6ypK2_amMrRpzMt5DDbuMW9q_H-vwb761zjT-SmB64LPf46co2_A6mEyuH24wJustv86rNcwkL8Bpobx2M</recordid><startdate>200011</startdate><enddate>200011</enddate><creator>Potkins, Dawn</creator><creator>Bradley, Sonia</creator><creator>Shrimanker, Jay</creator><creator>O'Brien, John</creator><creator>Swann, Alan</creator><creator>Ballard, Clive</creator><general>John Wiley & Sons, Ltd</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>200011</creationdate><title>End of life treatment decisions in people with dementia: carers' views and the factors which influence them</title><author>Potkins, Dawn ; Bradley, Sonia ; Shrimanker, Jay ; O'Brien, John ; Swann, Alan ; Ballard, Clive</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4573-96c0cc7e7e872e97b16a8162b00c1a39c8d738f433c3480f6c2066a7ba33d4043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Alzheimer Disease - psychology</topic><topic>Biological and medical sciences</topic><topic>Caregivers - psychology</topic><topic>carers</topic><topic>Decision Making</topic><topic>dementia</topic><topic>end of life decisions</topic><topic>Ethics</topic><topic>Female</topic><topic>Humans</topic><topic>Legal Guardians - psychology</topic><topic>Life Support Care - psychology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Nervous system as a whole</topic><topic>Neurology</topic><topic>Resuscitation Orders - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Potkins, Dawn</creatorcontrib><creatorcontrib>Bradley, Sonia</creatorcontrib><creatorcontrib>Shrimanker, Jay</creatorcontrib><creatorcontrib>O'Brien, John</creatorcontrib><creatorcontrib>Swann, Alan</creatorcontrib><creatorcontrib>Ballard, Clive</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of geriatric psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Potkins, Dawn</au><au>Bradley, Sonia</au><au>Shrimanker, Jay</au><au>O'Brien, John</au><au>Swann, Alan</au><au>Ballard, Clive</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>End of life treatment decisions in people with dementia: carers' views and the factors which influence them</atitle><jtitle>International journal of geriatric psychiatry</jtitle><addtitle>Int. J. Geriat. Psychiatry</addtitle><date>2000-11</date><risdate>2000</risdate><volume>15</volume><issue>11</issue><spage>1005</spage><epage>1008</epage><pages>1005-1008</pages><issn>0885-6230</issn><eissn>1099-1166</eissn><abstract>Objective. Treatment decisions in life threatening situations (TD) are poorly studied in people with dementia.
Method. The carers of people with dementia were asked four TD questions, pertaining to cardiac resuscitation, intravenous fluids, oral antibiotics and intravenous antibiotics. The impact of key variables (age, dementia severity, psychiatric co‐morbidity, physical illness, family relationship of carer) on TD were evaluated.
Results. Fifty carers participated, 46% wanted cardiac resuscitation, 60% wanted treatment with intravenous fluids, 52% wanted treatment with intravenous antibiotics and 60% wanted treatment with oral antibiotics. Agreement between questions was high (76 – 89%), suggesting that relatives were either for or against intervention. There was an association between more severe dementia and a reduced wish for intravenous antibiotics. None of the variables significantly influenced other TD.
Conclusion. The ‘global’ view of carers, was not influenced greatly by key disease variables. There are potential implications for the way in which carers are used as proxy decision makers. Copyright © 2000 John Wiley & Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>11113979</pmid><doi>10.1002/1099-1166(200011)15:11<1005::AID-GPS223>3.0.CO;2-0</doi><tpages>4</tpages></addata></record> |
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| subjects | Aged Aged, 80 and over Alzheimer Disease - psychology Biological and medical sciences Caregivers - psychology carers Decision Making dementia end of life decisions Ethics Female Humans Legal Guardians - psychology Life Support Care - psychology Male Medical sciences Nervous system (semeiology, syndromes) Nervous system as a whole Neurology Resuscitation Orders - psychology |
| title | End of life treatment decisions in people with dementia: carers' views and the factors which influence them |
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