Places of Farewell: A Scoping Review Exploring Factors Influencing the Choice of Place of Death for Children when Death is Expected.

Gilda Davis, Kerry Gaskin, Gyozo Molnár, Jackie Bentley
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Abstract

Progression of ill health and death trajectories is different for children with a non-oncology diagnosis. As previous research has focused primarily on children with cancer diagnoses, this scoping review explored what factors influence the parent and/or child's choice of place of death for a child with a non-oncological complex care condition, when death is expected. Eighteen papers were identified considering the preferred place of death. The findings were themed into 1. Diagnostic Factors; 2. Home Factors; 3. Socio-economic Factors; 4. Parent Factors. In conclusion, informed discussions with families that recognize the reason for, and the impact of their choices, are necessary not only for the preferred place of death but also end of life care.

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告别之地:探索影响儿童在预知死亡的情况下选择死亡地点的因素的范围研究。
非肿瘤诊断儿童的健康状况和死亡轨迹有所不同。由于之前的研究主要集中在确诊为癌症的儿童身上,因此本范围界定综述探讨了对于患有非肿瘤性复杂护理病症的儿童,在预期死亡的情况下,哪些因素会影响父母和/或儿童对死亡地点的选择。共发现了 18 篇考虑首选死亡地点的论文。研究结果分为 1.诊断因素;2.家庭因素;3.社会经济因素;4.父母因素。总之,与家属进行知情讨论,了解其选择的原因和影响,不仅对首选死亡地点很有必要,而且对生命末期护理也很有必要。
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