Older adults' attitudes to death, palliative treatment and hospice care.

Full Abstract

BACKGROUND: Cancer patients who receive care from specialist palliative care services in the UK are younger than those who do not receive this care. This may be explained by age-related differences in attitudes to end-of-life care. OBJECTIVE: To determine the relationship between age and i) attitudes to death and preparation for death; and ii) knowledge about, and attitudes to, cancer and palliative care. DESIGN: Interviews with older people, using a novel questionnaire developed using nominal groups. Main comparisons were made between people aged 55-74 with those aged 75 years and over. SETTING: General practices in London. SUBJECTS: 129 people aged 55-74 and 127 people aged 75 years or over on the lists of general practitioners. METHODS: A cross-sectional survey to determine knowledge and experience of hospice care; preparation for end-of-life; and attitudes to end-of-life issues. RESULTS: Participants were knowledgeable about specialist palliative care and almost half had some indirect contact with a hospice. People aged >74 were less likely than younger participants to want their doctor to end their life in a terminal illness. Although they believed death was easier to face for older people, they did not believe that younger people deserved more consideration than older people when dying, or that they should have priority for hospice care. Education, social class, hospice knowledge and anxiety about death had little influence on overall attitudes. CONCLUSIONS: The relative under-utilization of hospice and specialist palliative care services by older people with cancer in the UK cannot be explained by their attitudes to end-of-life issues and palliative care.

Author information

Author/s: Catt, Susan (S); Blanchard, Martin (M); Addington-Hall, Julia (J); Zis, Maria (M); Blizard, Robert (R); King, Michael (M);

Affiliation: Department of Mental Health Sciences, Royal Free and University College Medical School (UCL), London, UK. m.blanchard(-atsign-)medsch.ucl.ac.uk

Journal and publication information

Publication Type: Journal Article; Research Support, Non-U.S. Gov't

Journal: Palliative medicine (Palliat Med), published in England. (Language: eng)

Reference: 2005-Jul; vol 19 (issue 5) : pp 402-10

Dates: Created 2005/08/22; Completed 2006/01/05; Revised 2006/11/15;

PMID: 16111064, status: MEDLINE (last retrieval date: 2/18/2009, IMS Date: 18 Feb 2009 00:00:00)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

Comments and Corrections

CommentIn: Palliat Med. 2006 Apr;20(3):221. (PMID: 16764229)

CommentIn: Palliat Med. 2006 Mar;20(2):117-8. (PMID: 16613409)

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