Decision Making Among Older Adults at the End of Life: A Theoretical Perspective.

ANS Adv Nurs Sci

School of Nursing, University of California, San Francisco (Drs Romo, Dawson-Rose, and Wallhagen); and Hahn School of Nursing and Health Sciences and Beyster Institute for Nursing Research, University of San Diego, San Diego, California (Dr Mayo).

Published: February 2018


Category Ranking

98%

Total Visits

921

Avg Visit Duration

2 minutes

Citations

20

Article Abstract

Understanding changes in decision making among older adults across time is important for health care providers. We examined how older adults with a limited prognosis used their perception of prognosis and health in their decision-making processes and related these findings to prospect theory. The theme of decision making in the context of ambiguity emerged, reflecting how participants used both prognosis and health to value choices, a behavior not fully captured by prospect theory. We propose an extension of the theory that can be used to better visualize decision making at this unique time of life among older adults.

Download full-text PDF

Source
http://dx.doi.org/10.1097/ANS.0000000000000139DOI Listing

Publication Analysis

Top Keywords

decision making
16
older adults
16
making older
8
prognosis health
8
prospect theory
8
decision
4
older
4
adults
4
adults life
4
life theoretical
4

Similar Publications

Purpose: Computed tomography fluoroscopy (CTF)-guided biopsy is an established technique for sampling pulmonary lesions, particularly with the growing prevalence of lung nodule screening programs. This study investigated procedural and lesion-related factors affecting success and complication rates in routine CTF-guided lung core-needle biopsies at a tertiary center.

Methods: Consecutive patients undergoing percutaneous CTF-guided lung biopsies over a 10-year period (2007-2016) were retrospectively analyzed.

View Article and Find Full Text PDF

Background: Advancements in healthcare have significantly improved the prospect of patients with CHD, with over 97% now surviving adulthood. This growing population requires lifelong care and support to manage their condition. Digital health innovations, such as the "Ask Me Anything" (AMA) tool, aim to empower patients and improve collaboration with clinicians.

View Article and Find Full Text PDF

This study examines Mexico's fertility transition (1930-2015) and how socioeconomic status (SES), geography, and indigeneity shaped reproductive behaviors. Using net fertility-the number of surviving children under five-we assess how prestige bias (adopting high-status fertility norms) and conformism bias (aligning with local norms) influenced change across distinct population groups. We introduce the time, space, and population model to analyze the combined effects of macrostructural forces, spatial diffusion, and individual decision-making.

View Article and Find Full Text PDF

Oral cancer is a major global health burden, ranking sixth in prevalence, with oral squamous cell carcinoma (OSCC) being the most common type. Importantly, OSCC is often diagnosed at late stages, underscoring the need for innovative methods for early detection. The oral microbiome, an active microbial community within the oral cavity, holds promise as a biomarker for the prediction and progression of cancer.

View Article and Find Full Text PDF