Concept Analysis of Care Management for End-of-life Stage Elderly Patients Requiring In-home Care

Abstract

Purpose : The goal of this study is to clarify the concept of care management for end-of-life stage elderly requiring in-home care.

Methods : The Rogers method of concept analysis was used. Total of twenty-eight papers, eight overseas and twenty domestic, found using searches on Pub Med and the Japan Medical Abstracts Society website, used for the study. Preceding requirement, attributes, and results were extracted and used for qualitative induction analysis.

Results : Two categories of preceding requirements, six categories of attributes, and two categories of results were identified.

Conclusions : Based on these findings, care management practice for end-of-life stage elderly patients requiring in-home care was “create an environment that supports the end-of-life period, support decision making to clarify the life and the end of life desired by the patient, and work together with the care team to realize the patient’s wishes, without missing the physical aspect of the patient’s life when necessary. It was an activity to enable them to provide spiritual and mental health care.”