It's not just about heart failure - voices of older people in transition to dependence and death

Show simple item record Waterworth, Susan en Jorgensen, Diane en 2012-03-14T21:21:20Z en 2010-03 en
dc.identifier.citation Health Soc Care Community 18(2):199-207 Mar 2010 en
dc.identifier.issn 0966-0410 en
dc.identifier.uri en
dc.description.abstract This paper explores the experiences of older people living with heart failure and their transitions from independence to dependence and for some death. New Zealand's ageing population is predicted to increase from 12% in 2001 to 25% by the year 2051, similar to the worldwide trend of ageing. A high proportion of these people will have one or more chronic illnesses. Associated with the increase in survival is a growing body of research examining the needs of the older person with heart failure and finding particular problems with end of life care. Older people face many challenges in living with their heart failure, in particular the transition to dependence. To study the transition a longitudinal qualitative study using General Inductive approach was used. Participants were interviewed every 3 months for a 12-month period during 2006-2008. A total of 79 interviews with 25 people were completed. Our findings showed that transition was not a simple linear process with the older person moving from one phase to another; instead their experiences illustrated the complexity of transitions they faced and what helped them to manage these. The older people in this study illustrated the importance of trust in health professionals and believed they would receive good care. Their fears revealed concerns about being a burden as they deteriorate and becoming more dependent. Understanding the complex issues related to transition to dependence can provide health professionals with a framework for assessment and approaches to providing the support required. en
dc.language EN en
dc.publisher Wiley-Blackwell en
dc.relation.ispartofseries Health and Social Care in the Community en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from: en
dc.rights.uri en
dc.subject chronic illness en
dc.subject older people en
dc.subject palliative care en
dc.subject patient's perspectives en
dc.subject transition en
dc.subject QUALITY-OF-LIFE en
dc.subject PALLIATIVE CARE en
dc.subject END en
dc.subject COMMUNICATION en
dc.subject DECLINE en
dc.subject WILL en
dc.subject HOPE en
dc.title It's not just about heart failure - voices of older people in transition to dependence and death en
dc.type Journal Article en
dc.identifier.doi 10.1111/j.1365-2524.2009.00892.x en
pubs.issue 2 en
pubs.begin-page 199 en
pubs.volume 18 en
dc.rights.holder Copyright: Wiley-Blackwell en
dc.identifier.pmid 20039966 en
pubs.end-page 207 en
pubs.publication-status Published en
dc.rights.accessrights en
pubs.subtype Article en
pubs.elements-id 102346 en Medical and Health Sciences en Nursing en
pubs.record-created-at-source-date 2010-09-01 en
pubs.dimensions-id 20039966 en

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