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Palliative Care in Older People with Multimorbidities: A Scoping Review on the Palliative Care Needs of Patients, Carers, and Health Professionals

Author

Listed:
  • Laura Llop-Medina

    (Polibienestar Research Institute, University of Valencia, 46022 Valencia, Spain)

  • Yu Fu

    (Population Health Sciences Institute, Newcastle University, Newcastle NE2 4AX, UK)

  • Jorge Garcés-Ferrer

    (Polibienestar Research Institute, University of Valencia, 46022 Valencia, Spain)

  • Ascensión Doñate-Martínez

    (Polibienestar Research Institute, University of Valencia, 46022 Valencia, Spain)

Abstract

Although numerous studies have been conducted previously on the needs of cancer patients at the end of their life, there is a lack of studies focused on older patients with non-oncological complex chronic multipathologies. Examining these needs would help to gain a greater understanding of the profile of this specific population within the palliative care (PC) pathway and how the health and care systems can address them. The aim of this review was to identify the needs influencing PC among older patients with multimorbidities, their relatives or informal caregivers, and the health professionals who provide care for these patients. A scoping literature review guided by the Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist was carried out with literature searched in the Medline, Embase, CINAHL, WoS, Cochrane Library, PsycINFO, and Scopus databases from 2009 to 2022. Eighty-one studies were included, demonstrating a great variety of unaddressed needs for PC among chronic older patients and the complexity in detecting those needs and how to refer them to PC pathways. This review also suggested a scarcity of tools and limited pathways for professionals to satisfy their needs for these patients and their families, who often felt ignored by the system. Substantial changes will be needed in health and care systems at the institutional level, providing more specialized PC environments and systematizing PC processes.

Suggested Citation

  • Laura Llop-Medina & Yu Fu & Jorge Garcés-Ferrer & Ascensión Doñate-Martínez, 2022. "Palliative Care in Older People with Multimorbidities: A Scoping Review on the Palliative Care Needs of Patients, Carers, and Health Professionals," IJERPH, MDPI, vol. 19(6), pages 1-14, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:6:p:3195-:d:766778
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    References listed on IDEAS

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    1. Camilla A Mousing & Helle Timm & Kirsten Lomborg & Marit Kirkevold, 2018. "Barriers to palliative care in people with chronic obstructive pulmonary disease in home care: A qualitative study of the perspective of professional caregivers," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(3-4), pages 650-660, February.
    2. Marques Shek Nam Ng & Cho Lee Wong & Eva Hau Sim Ho & Yun Ho Hui & Christine Miaskowski & Winnie Kwok Wei So, 2020. "Burden of living with multiple concurrent symptoms in patients with end‐stage renal disease," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(13-14), pages 2589-2601, July.
    3. Sandra Pennbrant & Cecilia Hjorton & Caroline Nilsson & Margareta Karlsson, 2020. "“The challenge of joining all the pieces together” – Nurses’ experience of palliative care for older people with advanced dementia living in residential aged care units," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(19-20), pages 3835-3846, October.
    4. Helen Yue-Lai Chan & Cecilia Nim-Chee Chan & Chui-Wah Man & Alice Dik-Wah Chiu & Faith Chun-Fong Liu & Edward Man-Fuk Leung, 2022. "Key Components for the Delivery of Palliative and End-of-Life Care in Care Homes in Hong Kong: A Modified Delphi Study," IJERPH, MDPI, vol. 19(2), pages 1-9, January.
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    Cited by:

    1. Sven H. Loosen & Sarah Krieg & Johannes Eschrich & Mark Luedde & Andreas Krieg & Manuela Schallenburger & Jacqueline Schwartz & Martin Neukirchen & Tom Luedde & Karel Kostev & Christoph Roderburg, 2022. "The Landscape of Outpatient Palliative Care in Germany: Results from a Retrospective Analysis of 14,792 Patients," IJERPH, MDPI, vol. 19(22), pages 1-8, November.

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