age related death
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: The most involved relative (or legal representative) of all residents, deceased between March 2011 and August 2012, in each of the nursing homes, was interviewed by telephone. A reference person of the facility requested relatives' approval for contact of the interviewer.
Exclusion criteria
Exclusion criteria: Residents who lived less than one month in the facility are excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Superiority of the intervention facilities in terms of the 11 point likert scale rating of the questionnaire item "F2a": From your point of view, to what extent has the medical treatment of [NAME] applied during the last month of life met his/her wishes ? | — |
Secondary
| Measure | Time frame |
|---|---|
| Superiority of the intervention facilities with regard to a selection of specific items of the questionnaire, which can be expected to make a difference, as a result of the intervention “beizeiten begleiten”. These are: Rating F1 (quality of communication); Rating F2b (end-of-life-care); Rating F3 (symptom control); Rating F4 (contribution of the professional staff to a death the resident expected to have); Rating F5 (emotional support); A1 (place of death); A3 (degree of life-sustaining treatment); A4.1 (last month hospitalization); C1 ff. (conversations with the physicians); D1 (residents' treatment preferences for deceasing phase be known?); D4a (treatment against residents wishes); D6a (the presence of an advance-directive); D6b (the presence of a written instruction for the case of emergency of the legal proxy); D19 (treatment decisions without the legal proxy); D26 (conversation with the relatives about what to expect while the patient is dying); D27 (conversation with the relatives about what to do at the time of patients dying). | — |
Countries
Germany
Contacts
Forschungsstelle Ethik des Instituts für Geschichte und Ethik der Medizin der Universität zu Köln