To Plan or Not to Plan? Experiences and Challenges of Older Swiss Adults Facing End-of-Life Decisions.
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| Title: | To Plan or Not to Plan? Experiences and Challenges of Older Swiss Adults Facing End-of-Life Decisions. |
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| Authors: | Castelli Dransart, Dolores Angela1 (AUTHOR) angela.castelli@hefr.ch, Maggiori, Christian1 (AUTHOR), Burnier, Daniel2 (AUTHOR), Geiser, François1 (AUTHOR), Lapierre, Sylvie3 (AUTHOR) |
| Source: | Omega: Journal of Death & Dying. May2026, Vol. 93 Issue 1, p487-503. 17p. |
| Subject Terms: | *Interprofessional relations, *Focus groups, *Content analysis, *Research methodology, Elder care, Research funding, Independent living, Interviewing, Questionnaires, Descriptive statistics, Judgment sampling, Thematic analysis, Terminal care, Patient decision making, Data analysis software, Patients' attitudes, Advance directives (Medical care) |
| Geographic Terms: | Switzerland |
| Abstract: | End-of-life (EoL) planning and the drafting of advance care directives (ACD) are challenging for older adults. As part of a mixed study, the content of 18 semi-structured interviews with Swiss community-dwelling older adults was analyzed to investigate contextual and interactional aspects that might influence their choice to complete ACD. Results show that EoL planning vary greatly. Three types of planners were highlighted: the solo planners, the collaborative planners, and the delegators. Each represents a specific way of conceiving autonomy, the usefulness of ACD and of involving third parties in the decision-making process. Whereas for solo planners, ACD is a personal, rational affair, for collaborative planners and delegators, reflection and decisions on EoL issues are interactional and iterative processes. The results suggest that health and social care professionals would benefit from taking into consideration the various types of planning, in order to provide the best support to older adults for ACD completion. [ABSTRACT FROM AUTHOR] |
| Copyright of Omega: Journal of Death & Dying is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
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| Abstract: | End-of-life (EoL) planning and the drafting of advance care directives (ACD) are challenging for older adults. As part of a mixed study, the content of 18 semi-structured interviews with Swiss community-dwelling older adults was analyzed to investigate contextual and interactional aspects that might influence their choice to complete ACD. Results show that EoL planning vary greatly. Three types of planners were highlighted: the solo planners, the collaborative planners, and the delegators. Each represents a specific way of conceiving autonomy, the usefulness of ACD and of involving third parties in the decision-making process. Whereas for solo planners, ACD is a personal, rational affair, for collaborative planners and delegators, reflection and decisions on EoL issues are interactional and iterative processes. The results suggest that health and social care professionals would benefit from taking into consideration the various types of planning, in order to provide the best support to older adults for ACD completion. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 00302228 |
| DOI: | 10.1177/00302228241239809 |
