Possible Age-related Differences in Healthcare Professionals' Perspectives on Younger and Older Patients' Autonomy and Decision-making in the Context of Sedation in Specialised Palliative Care: Exploratory Secondary Qualitative Content And...

Overview

Journal BMC Palliat Care

Publisher Biomed Central

Specialty Critical Care

Date 2022 May 13

PMID 35550117

Authors

Sandra Kurkowski

Maria Heckel

Larissa Pfaller

Joachim Peters

Jeremias Bazata

Eva Schildmann

Christoph Ostgathe

Affiliations

Soon will be listed here.

Abstract

Background: Chronic illnesses and multi-morbidity can threaten competence and independence, particularly in old age. Autonomy becomes increasingly important in the context of sedation, as in this case medication leads to (further) changes of consciousness. The study aimed to identify possible age-related differences in the perspectives of healthcare professionals on patients' autonomy, in the context of sedation in specialised palliative care.

Method: Secondary analysis of interviews with healthcare professionals, analysed by qualitative content and linguistic conversation analysis. The interviews analysed span 51 healthcare professionals in specialised palliative care across 17 centres (adult inpatient and specialist palliative home care services) in Germany.

Results: The study shows that the perspectives of healthcare professionals on patients' autonomy differs according to the age of the patient in the context of sedation in specialised palliative care. The different perspectives may lead to different ways of treating the patients, for example a greater space of autonomy and decision-making for younger patients.

Conclusion: In particular, measures that may restrict consciousness (e.g. sedation) and thus influence patients' ability to fully exercise their autonomy and fully participate in decision-making require special attention by healthcare professionals with respect to possible influences on treatment, such as different perceptions by healthcare professionals based on the patient's age or age-related stereotypes.

Trial Registration: The study "SedPall" is registered in the German Clinical Trials Register (ID: DRKS00015047 ).

Citing Articles

"It is very hard to just accept this" - a qualitative study of palliative care teams' ethical reasoning when patients do not want information.

Bjork J BMC Palliat Care. 2024; 23(1):91.

PMID: 38575905 PMC: 10996159. DOI: 10.1186/s12904-024-01412-8.

Correction: Possible age-related differences in healthcare professionals' perspectives on younger and older patients' autonomy and decision-making in the context of sedation in specialised palliative care: exploratory secondary qualitative content....

Kurkowski S, Heckel M, Pfaller L, Peters J, Bazata J, Schildmann E BMC Palliat Care. 2022; 21(1):92.

PMID: 35641953 PMC: 9158078. DOI: 10.1186/s12904-022-00990-9.

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