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Updated: Jul 15, 2025
Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
Characterization in end-of-life care of older people attended by geriatricians
Elly Morros-González1, Ana María Ayala Copete2, Daniela Sofía Beltrán Barriga3
1Semillero de Neurociencias y Envejecimiento del Instituto de Envejecimiento de la Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Colombia; Hospital Universitario Mayor - Méderi e Instituto Rosarista para el Estudio del Envejecimiento y la Longevidad, Universidad del Rosario, Bogotá, Colombia.
Background And Objective:
Symptom control at the end of life is essential, and palliative sedation is a viable intervention option for the care of terminally ill patients. This study aims to characterize the elderly population receiving end-of-life care plans and their management with palliative sedation in a geriatric unit at a high complexity hospital.
Materials And Methods:
A cross-sectional study was conducted, and a descriptive analysis was performed. Medical records of 163 patients admitted to a high complexity hospital in Bogota, Colombia between January 2016 and December 2019 were reviewed.
Results:
From 163, 141 patients received an end-of-life care plan, and 22 were managed with palliative sedation. The mean age was 84 years, the most frequent cause of death was respiratory infections and 44% of patients had a history of cancer. Prior to admission, functional decline and the presence of moderate to severe dementia were frequently found. About one in ten persons required palliative sedation, which lasted an average of 2.22±5 days. The most common refractory symptom was dyspnea (45.45%), followed by pain (36.36%).
Conclusions:
Palliative sedation is prevalent in the elderly population and characterizing this population can provide increased knowledge to improve end-of-life care.
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