Ko Eunjeong, Nelson-Becker Holly
1San Diego State University School of Social Work, San Diego, CA, USA.
Am J Hosp Palliat Care. 2014 Mar;31(2):183-8. doi: 10.1177/1049909113482176. Epub 2013 Mar 21.
This qualitative pilot study explored perspectives, needs, and concerns relating to advance care planning among older homeless adults. Twenty-one older adults residing at a transitional housing facility in an urban area of the West coast were interviewed in person. Key emergent themes included discomfort with the topic, trust in God's decisions, physicians preferred as decision makers, and planning is important but not an immediate concern. Further, people who are homeless want to be approached with sensitivity. Instead of simply eliciting life-sustaining treatment preferences of homeless people, health care professionals should assess their unique concerns and needs regarding death and dying, prepare them to consider their possible end-of-life situation, and assist them to plan in accordance with their needs.
这项定性试点研究探讨了老年无家可归成年人在预先护理计划方面的观点、需求和担忧。对居住在西海岸城市地区一个过渡性住房设施中的21名老年人进行了面对面访谈。出现的关键主题包括对该话题的不适、对上帝决定的信任、倾向于让医生作为决策者，以及认为规划很重要但并非当务之急。此外，无家可归者希望被以敏感的方式对待。医疗保健专业人员不应仅仅询问无家可归者维持生命治疗的偏好，而应评估他们对死亡和临终的独特担忧和需求，帮助他们考虑可能的临终情况，并协助他们根据自身需求进行规划。
