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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.
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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  Data: To Plan or Not to Plan? Experiences and Challenges of Older Swiss Adults Facing End-of-Life Decisions.
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  Data: <searchLink fieldCode="JN" term="%22Omega%3A+Journal+of+Death+%26+Dying%22">Omega: Journal of Death & Dying</searchLink>. May2026, Vol. 93 Issue 1, p487-503. 17p.
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  Data: *<searchLink fieldCode="DE" term="%22Interprofessional+relations%22">Interprofessional relations</searchLink><br />*<searchLink fieldCode="DE" term="%22Focus+groups%22">Focus groups</searchLink><br />*<searchLink fieldCode="DE" term="%22Content+analysis%22">Content analysis</searchLink><br />*<searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Elder+care%22">Elder care</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Independent+living%22">Independent living</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Judgment+sampling%22">Judgment sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Terminal+care%22">Terminal care</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+decision+making%22">Patient decision making</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Advance+directives+%28Medical+care%29%22">Advance directives (Medical care)</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Switzerland%22">Switzerland</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: 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]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>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.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=192433882
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      – Type: doi
        Value: 10.1177/00302228241239809
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      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 17
        StartPage: 487
    Subjects:
      – SubjectFull: Interprofessional relations
        Type: general
      – SubjectFull: Focus groups
        Type: general
      – SubjectFull: Content analysis
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Elder care
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Independent living
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Judgment sampling
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Terminal care
        Type: general
      – SubjectFull: Patient decision making
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Patients' attitudes
        Type: general
      – SubjectFull: Advance directives (Medical care)
        Type: general
      – SubjectFull: Switzerland
        Type: general
    Titles:
      – TitleFull: To Plan or Not to Plan? Experiences and Challenges of Older Swiss Adults Facing End-of-Life Decisions.
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              Text: May2026
              Type: published
              Y: 2026
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