What Evidence is Available on End-of-life (EOL) Care and Latino Elders? A Literature Review

Author:

Cruz-Oliver Dulce M.1,Talamantes Melissa2,Sanchez-Reilly Sandra3

Affiliation:

1. Department of Internal Medicine, Division of Geriatrics Medicine, Saint Louis University, St Louis, MO, USA

2. South Texas Veterans Health Care System, Psychology Service (116B), San Antonio, TX, USA

3. GEC and GRECC, South Texas Veterans Health Care System, Barshop Institute for Longevity and Aging Studies, The University of Texas Health Science Center at San Antonio, San Antonio, TX, USA

Abstract

Background: Low-income and minority persons, such as Latinos, encounter substantial barriers in accessing effective end-of-life (EOL) care. This study intends to review current evidence on how to deliver EOL care to Latino elders. Methods: Literature search in PubMed and Ovid Web sites of articles indexed in Medline (1948-2011), Cochrane (2005-2011), Embase, and PsychInfo (1967-2011) databases. Articles were included if they contained (1) study participants’ race/ethnicity, (2) adults or population older than 60 years, and (3) information related to EOL care. Results: A total of 64 abstracts were reviewed, and 38 articles met the inclusion criteria. After reviewing the quality of evidence, 4 themes were identified and summarized: EOL preferences, hospice, Latino culture, and caregiving. Conclusion: Latino elders have traditional acculturation practices, face EOL decisions with family support, and, if educated, are receptive toward hospice and caregiver support.

Publisher

SAGE Publications

Subject

General Medicine

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