Effectiveness Of End Of Life Education Among Community Dwelling Older Adults

2495 Words Jul 3rd, 2015 10 Pages
Problem Statement, Purpose Statement, Research Question
In the study “Effectiveness of end-of-life education among community-dwelling older adults” Matsui (2010) addresses the problem that fewer than “50% of severely or terminally ill patients completed an advance directive” (p. 363) which makes it difficult for health care professionals to identify patients’ wishes in situations where end of life is near. This is a significant problem to nursing, as nurses have a responsibility to inform and educate patients about health care directives, and options for end-of-life care as well as facilitate appropriate end of life care according to patient preferences.
Compounding this research problem Matsui (2010) explains that although much discussion has occurred regarding advance directives, there is a lack of consensus of the Japanese people regarding the importance and necessity of advance directives and they are not yet considered a legal documents in Japan. Matsui (2010) stresses the importance and need for discussions regarding end-of-life care are needed to clearly identify patient preferences and clearly states the purpose of this study “was to evaluate the effectiveness of an educational intervention regarding end-of-life discussion directed at older Japanese adults and their attitude to and acceptance of this intervention” (p. 363). Matsui (2010) compared results of the intervention group, specifically addressing how end-of-life preferences changed, how patients’ attitudes…

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