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- Jane Osterlind, Görel Hansebo, Göran Lantz, and Britt-Marie Ternestedt.
- School of Health and Medical Sciences, Orebro University, Orebro, Sweden. jane.osterlind@esh.se
- Int J Palliat Nurs. 2008 Sep 1; 14 (9): 420-5.
AbstractSeven care managers employed by a large municipality in Sweden were interviewed concerning their reasoning regarding end-of-life care for older people. Data were analyzed using a hermeneutic approach. The results showed that end-of-life care was considered to constitute a small part of the care managers' work and was something they did not focus on in general when assessing care needs. Two different pathways to death--the natural and the medical--were identified. In the natural pathway, death was invisible and the care was more routine-oriented. In the medical pathway, death was visualised and the care more individualised. Neither of the pathways paid attention to communication or existential needs. Thus, there is a need for a palliative pathway to death based on the philosophy of palliative care, which could provide guidance for care managers and promote opportunities for older people to achieve a dignified dying and death.
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