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To Plan or Not to Plan? Experiences and Challenges of Older Swiss Adults Facing End-of-Life Decisions

Bibliographic Data

ID13630496
AuthorsDolores Angela Castelli Dransart (0009-0003-5417-3396, HES-SO University of Applied Sciences and Arts Western Switzerland, corresponding author), Christian Maggiori (0000-0002-6303-7965, HES-SO University of Applied Sciences and Arts Western Switzerland), Daniel Burnier (0000-0002-2680-7051, University of Neuchâtel), François Geiser (HES-SO University of Applied Sciences and Arts Western Switzerland), Sylvie Lapierre (0000-0001-6942-7756, University of Quebec in Trois-Rivières)
Year2024
Volume93
Issue1
Pages487-503
Publication date2024-03-14
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueOMEGA - Journal of Death and Dying (JOURNAL)
Journal identifiersISSN: 0030-2228 • E-ISSN: 1541-3764
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/00302228241239809
PMID38483438
OpenAlexW4392799246
LanguageEN
References cited33

End-of-life (EoL) planning and the drafting of advance care directives (ACD) are challenging for older adults. As part of a mixed study, the content of 18 semi-structured interviews with Swiss community-dwelling older adults was analyzed to investigate contextual and interactional aspects that might influence their choice to complete ACD. Results show that EoL planning vary greatly. Three types of planners were highlighted: the solo planners, the collaborative planners, and the delegators. Each represents a specific way of conceiving autonomy, the usefulness of ACD and of involving third parties in the decision-making process. Whereas for solo planners, ACD is a personal, rational affair, for collaborative planners and delegators, reflection and decisions on EoL issues are interactional and iterative processes. The results suggest that health and social care professionals would benefit from taking into consideration the various types of planning, in order to provide the best support to older adults for ACD completion

Advance care planning · Aging in place · Autonomy · Business · Order (exchange · Palliative care · Plan (archaeology · Political science · Process (computing · Process management · Public relations · Computer Science · Ethics in medical practice · Medicine · Nursing · Palliative Care and End-of-Life Issues · Patient Dignity and Privacy · Psychology · Gerontology

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Highly citedNo

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