Order #: 14410

Authors:

Tarzian, A.J., Neal, M.T., O'Neil, J.A.

Title:

Attitudes, Experiences, and Beliefs Affecting End-of-Life Decision-Making Among Homeless Individuals.

Source:

Journal of Palliative Medicine 8(1): 36-48, 2005. (Journal Article: 12 Pages)

Abstract:

This study sought to increase health care providers' (HCP) awareness and understanding of homeless or similarly marginalized individuals' end-of-life (EOL) experiences and treatment preferences. Individuals who are homeless may encounter various barriers to obtaining quality EOL care, including access barriers, multiple sources of discrimination, and lack of knowledge among HCPs of their preferences and decision-making practices. Planning for death with individuals who have spent so much energy surviving requires an understanding of their experiences and preferences. The narrative process of this qualitative study uncovered an approach to EOL decision-making in which participants' reasoning was influenced by emotions, religious beliefs, and spiritual experience. Relationship-centered care, characterized by compassion and respectful, two-way communication, was obvious by its described absence. Reasons for this are discussed. Recommendations for reframing advance care planning include ways for HCPs to transform advance care planning from that of a legal document to a process of goal-setting that is grounded in human connection, respect, and understanding (authors). 

Order #: 14427

Authors:

Wilson, M.

Title:

Health-Promoting Behaviors of Sheltered Homeless Women.

Source:

Family and Community Health 51-63, 2005. (Journal Article: 13 Pages)

Abstract:

This study’s objective was to expand the body of knowledge and provide further insight into the complex area of homelessness and health.  Health practices of sheltered homeless women were investigated using a cross-sectional, descriptive, and non-experimental design using Pender’s Health Promotion Model as the theoretical framework.  The sample was well educated, mostly unemployed, primarily single, and homeless due to relationship problems/conflict per self-report.  Homeless women were noted to practice health-promoting behaviors in all areas but scored the lowest on physical activity and nutrition.  Significant findings reflected women’s personal strengths and resources in the areas of spiritual growth and interpersonal relations (authors).