'I live for today': a qualitative study investigating older people's attitudes to advance planning
'I live for today': a qualitative study investigating older people's attitudes to advance planning
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DOI：
10.1111/j.1365-2524.2010.00948.x
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发表时间：
2011-01-01
影响因子：
2.4
通讯作者：
Manthorpe, Jill
中科院分区：
文献类型：
--
作者：
Samsi, Kritika;Manthorpe, Jill
本文报告了对支持老年人制定未来计划的态度的普遍理解和信仰体系的调查。 2005 年心智能力法案 (MCA) 使有能力的成年人能够提前制定计划和决策，安排代理决策，并为那些将来可能失去自己决策能力的人提供保障。这项研究探讨了生活在英格兰社区的 37 名自称健康老年人的不同样本对起草意愿声明和记录决策偏好的态度。该研究于 2009 年初进行。研究结果显示，大多数人在个性、信仰、生活状况以及计划与自身状况的相关性的指导下，对计划有个人倾向或偏好。财务计划和葬礼安排通常是在缺乏健康和社会护理计划的情况下制定的，参与者往往会推迟考虑这些计划。住房和寄宿护理对所有人都很重要。总体而言，很少有参与者听说过 MCA，而且大多数人不确定到哪里寻求支持。与会者在讨论这些问题时感谢支持；有些人求助于家人，而另一些人则认为专业人士是更合适的建议来源。家庭医生被认为是值得信赖的，也是一个可能开始询问的地方。概念化某些使人衰弱的状况的发生也鼓励参与者考虑为它们制定计划。这项研究对公共教育活动和健康相关信息具有影响，可能会对许多有兴趣制定计划但不知道有法律保障和实际支持可以帮助的老年人产生影响。
This article reports investigation of prevalent understandings and systems of beliefs that underpin older people's attitudes towards making plans for their future. The Mental Capacity Act 2005 (MCA) enables adults with capacity to make plans and decisions in advance, to arrange proxy decision-making and provides safeguards for those who might lose the capacity to make decisions for themselves in the future. This study explored the attitudes of a diverse sample of 37 self-declared well older people living in the community in England about their views on drawing up statements of wishes and documenting their decision-making preferences. The study was conducted in early 2009. Findings revealed that most individuals had a personal tendency or preference towards planning, guided by personality, beliefs, living situation and the relevancy of planning to their situation. Financial plans and funeral arrangements were most commonly drawn up with an absence of health and social care plans, which participants tended to postpone considering. Housing and residential care were important for all. Overall, few participants had heard of the MCA and most were unsure where to turn for support. Participants appreciated support when discussing these issues; some turned to family, while others felt professionals were a more appropriate source of advice. The family doctor was cited as trustworthy and a potential place to begin inquiries. Conceptualising onset of certain debilitating conditions also encouraged participants to think about planning for them. This study has implications for public education campaigns and health-related information that could potentially impact on many older people who are interested in making plans but are unaware that legal safeguards and practical support are available to aid this.