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aging, quality of life, screening, health promotion, assessment



  1. Amella, Elaine J. PhD, APRN, BC


Nurses specializing in geriatrics and palliative care share a common goal: Above all else they will help the patient to experience the best quality of life. However, nurses specializing in palliative care may not be aware of the numerous ways that the aging process alters health problems. This review article addresses ways that symptoms of illness and altered presentation of disease may occur in the very old or frail adult. Appropriate assessment instruments for screening or evaluating older adults are shared. Psychosocial issues for both dying older adults and their caregivers are discussed. Finally, evidence-based health promotion recommendations for the end of life are given.