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Updated: May 15, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

[Aging problem in the home hospice care].

Go Watanabe¹, Tetsuya Yamagiwa, Shinya Nakayama

¹Baptist Home Hospice Palliative Care Clinic.

Gan to Kagaku Ryoho. Cancer & Chemotherapy

|December 28, 2012

Summary

Home hospice care in Japan meets diverse elderly needs. While those with dementia often prefer admission, most elderly living alone opt for home hospice care, highlighting personalized care preferences.

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Last Updated: May 15, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Area of Science:

Geriatric Medicine
Palliative Care
Sociology of Health

Context:

The aging population in Japan presents unique challenges for end-of-life care.
Increasing numbers of elderly individuals live alone or with limited family support.
Specific needs of cancer patients with dementia require tailored home hospice solutions.

Purpose:

To analyze patient preferences for home hospice care versus hospital admission.
To investigate the influence of living arrangements (alone, with one elderly member) on care choices.
To identify challenges in providing home hospice care for terminally ill elderly patients in Japan.

Summary:

A study of 262 home hospice care patients revealed distinct preferences based on living situations.
Elderly patients with dementia were more likely to request admission before death.
A majority of elderly patients living alone preferred to receive hospice care at home.

Impact:

Findings underscore the need for flexible and personalized home hospice care models.
Results inform policy and practice to better support Japan's aging demographic.
Improved understanding can enhance quality of life for terminally ill elderly patients at home.