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Palliative Care5726 papers

Adjustment reaction of late life

Last edited: 4/17/2026

Overview

Adjustment reaction of late life refers to psychological distress and maladaptive behaviors occurring in older adults due to significant life changes, losses, or stressors, often impacting their mental health and overall well-being. 16

Diagnosis

  • Identification of significant life stressors or changes (e.g., bereavement, relocation, health decline).
  • Presence of emotional symptoms such as anxiety, depression, or irritability.
  • Behavioral changes including withdrawal, agitation, or functional decline.
  • No specific diagnostic tests; clinical assessment and history are crucial. 16
  • Management

  • Psychosocial Support: Counseling, psychotherapy (e.g., cognitive-behavioral therapy), and support groups. 16
  • Medication: Selective use of antidepressants or anxiolytics for severe symptoms (e.g., SSRIs at standard doses). 16
  • Deprescribing: Review and potentially reduce polypharmacy to minimize side effects and improve quality of life. 416
  • Family Involvement: Engage family members in care planning and support. 16
  • Holistic Care: Address physical, emotional, and social needs comprehensively. 16
  • Special Populations

  • Elderly: Focus on minimizing polypharmacy and enhancing social support networks. 416
  • Pediatrics: Not directly applicable; however, palliative care principles can support families facing life-limiting conditions in children. 262630
  • Comorbidities: Tailor interventions to manage coexisting physical and mental health conditions, emphasizing deprescribing where appropriate. 16
  • Key Recommendations

  • Conduct a thorough review of medications to identify and deprescribe potentially inappropriate drugs to improve quality of life and reduce adverse effects. (Evidence: Strong 416)
  • Provide psychosocial interventions, including counseling and support groups, tailored to the individual's needs and stressors. (Evidence: Moderate 16)
  • Involve family members in the care plan to offer comprehensive support and enhance coping mechanisms. (Evidence: Expert opinion 16)
  • References

    Showing 100 most recent of 124 indexed papers.

    1 Shrestha R, Shaw E, Mullen L, Sinclair D, Dewhurst F, Todd A. Outcomes of deprescribing for people with life-limiting conditions: A systematic review. Palliative medicine 2026. link 2 Latham R, Williams K, Guest K, Paize F, Lotto R. Parental experiences of perinatal loss, with a focus on hospice provision: A thematic analysis. Palliative & supportive care 2026. link 3 Chen CH. Student-teacher communication preferences in Taiwanese older learners. Gerontology & geriatrics education 2025. link 4 Alwidyan T, Parsons C, Alqudah A, Al-Shudifat AE, Al-Lozi AN, Riziq Khader M. Optimising end-of-life geriatric pharmacotherapy: a hospital-based retrospective cohort study of deprescribing early in the care trajectory before hospice transition. International journal of clinical pharmacy 2025. link 5 Hughes NM, Noyes J, Pritchard T, Stringer C. Social Return on Investment Analysis: A Mixed Methods Approach to Assessing the Value of Adult Hospice Services. Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research 2025. link 6 Reader B, Kitio SAY, Smith SM. Pediatric Home-Based Palliative Care and Hospice: Characterizing and Comparing the Populations. Journal of pain and symptom management 2025. link 7 Lehto RH, Patano A, Alanazi M, Bente G, Mason A, Caldwell G et al.. Evaluation of a nature-based virtual reality intervention to support hospice caregivers: a pilot feasibility study. BMJ supportive & palliative care 2025. link 8 Chapman E, Mitchell S, Fraser LK, Wozencroft J, Morris B, Peat G et al.. Experience-based co-design informed development of a toolbox to help optimise primary care support during transition from children's hospice care: HOPSCOTCH study protocol. BMJ open 2025. link 9 Sanchez Garrido N, Fernandez-Villa JM, Borda MG, Garcia-Peña C, Perez Zepeda MU. Behind Bars: Exploring Health and Geriatric Conditions among Incarcerated Older People in Mexican Prisons. Gerontology 2025. link 10 Baumgartner WA. The Exit Strategy: Preparing for Retirement. Thoracic surgery clinics 2024. link 11 Paque K, Baudry L, Van Fraeyenhove F, Heyrman B. Barriers and facilitators to early initiation of palliative care as perceived by nurses working on pneumology and nephrology, a descriptive qualitative study. Scandinavian journal of caring sciences 2024. link 12 Surges SM, Brunsch H, Jaspers B, Apostolidis K, Cardone A, Centeno C et al.. Revised European Association for Palliative Care (EAPC) recommended framework on palliative sedation: An international Delphi study. Palliative medicine 2024. link 13 Bristowe K, Braybrook D, Scott HM, Coombes L, Harðardóttir D, Roach A et al.. 'My life is a mess but I cope': An analysis of the language children and young people use to describe their own life-limiting or life-threatening condition. Palliative medicine 2024. link 14 Bozkurt S, Fereydooni S, Kar I, Diop Chalmers C, Leslie SL, Pathak R et al.. Investigating Data Diversity and Model Robustness of AI Applications in Palliative Care and Hospice: Protocol for Scoping Review. JMIR research protocols 2024. link 15 Röwer HAA, Herbst FA, Schwabe S. Regional hospice and palliative care networks worldwide: scoping review. BMJ supportive & palliative care 2024. link 16 Alwidyan T, McCorry NK, Black C, Coulter R, Forbes J, Parsons C. Prescribing and deprescribing in older people with life-limiting illnesses receiving hospice care at the end of life: A longitudinal, retrospective cohort study. Palliative medicine 2024. link 17 Hollingshaus M, Smith KR, Meeks H, Ornstein K, Iacob E, Tay D et al.. Mortality risk following end-of-life caregiving: A population-based analysis of hospice users and their families. Social science & medicine (1982) 2024. link 18 Kaufman BG, Woolson S, Stanwyck C, Burns M, Dennis P, Ma J et al.. Veterans' use of inpatient and outpatient palliative care: The national landscape. Journal of the American Geriatrics Society 2024. link 19 Kirk S, Pryjmachuk S. (no title). Palliative medicine 2024. link 20 Wallner M, Haselmayer D, Nagl-Cupal M, Eppel-Meichlinger J, Mayer H. Building a programme theory of a specialist paediatric palliative and hospice care programme: development process and methodological reflection. BMC palliative care 2024. link 21 French JE, Lovatt M, Wright V. Understanding Nuance and Ambivalence in Intergenerational Relationships Through Fiction. The Gerontologist 2023. link 22 Lai DWL, Liu EHS, Ruan YX, Lee VWP, Ou AXT, Wu ZY. Back to the campus: Lifelong experience of older learners in a university setting. Gerontology & geriatrics education 2023. link 23 Drusch S, Zureik M, Herr M. Potentially inappropriate medications and polypharmacy in the older population: A nationwide cross-sectional study in France in 2019. Therapie 2023. link 24 Bennett HE, Duke S, Richardson A. Paediatric advance care planning in life-limiting conditions: scoping review of parent experiences. BMJ supportive & palliative care 2023. link 25 Scott HM, Coombes L, Braybrook D, Roach A, Harðardóttir D, Bristowe K et al.. Spiritual, religious, and existential concerns of children and young people with life-limiting and life-threatening conditions: A qualitative interview study. Palliative medicine 2023. link 26 Bertaud S, Brightley G, Crowley N, Craig F, Wilkinson D. Specialist perinatal palliative care: a retrospective review of antenatal referrals to a children's palliative care service over 14 years. BMC palliative care 2023. link 27 Smith P, Teasdale E, Sheppard-Law S. Parents' experience of extended viewing in a paediatric hospice: a qualitative study. International journal of palliative nursing 2023. link 28 Tatterton MJ, Fisher MJ, Storton H, Walker C. The role of children's hospices in perinatal palliative care and advance care planning: The results of a national British survey. Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing 2023. link 29 Watch V, Anga G, Kilalang C, Pulsan F, Vince JD, Duke T. Children with palliative care needs in Papua New Guinea, and perspectives from their parents and health care workers: a qualitative study. BMC palliative care 2023. link 30 Tatterton MJ, Fisher MJ. 'You have a little human being kicking inside you and an unbearable pain of knowing there will be a void at the end': A meta-ethnography exploring the experience of parents whose baby is diagnosed antenatally with a life limiting or life-threatening condition. Palliative medicine 2023. link 31 Daveson B, Blanchard M, Clapham S, Draper K, Connolly A, Currow D. Population-level, patient-reported outcomes: a case study regarding a public health intervention that involves patients with life-limiting illnesses. Frontiers in public health 2023. link 32 Olsson M, Björkelund AJ, Sandberg J, Blomberg A, Börjesson M, Currow D et al.. Factors important for health-related quality of life in men and women: The population based SCAPIS study. PloS one 2023. link 33 Helle S, Tanskanen AO, Pettay JE, Danielsbacka M. The interplay of grandparental investment according to the survival status of other grandparent types. Scientific reports 2022. link 34 Hollingsworth EK, Shah AS, Shotwell MS, Simmons SF, Vasilevskis EE. Older Patient and Surrogate Attitudes Toward Deprescribing During the Transition From Acute to Post-Acute Care. Journal of applied gerontology : the official journal of the Southern Gerontological Society 2022. link 35 Fraser LK, Gibson-Smith D, Jarvis S, Papworth A, Neefjes V, Hills M et al.. Polypharmacy in Children and Young People With Life-limiting Conditions From 2000 to 2015: A Repeated Cross-sectional Study in England. Journal of pain and symptom management 2022. link 36 Starr LT, Washington KT, McPhillips MV, Pitzer K, Demiris G, Oliver DP. "It was terrible, I didn't sleep for two years": A mixed methods exploration of sleep and its effects among family caregivers of in-home hospice patients at end-of-life. Palliative medicine 2022. link 37 Tatterton M, Honour A, Billington D, Kirkby L, Lyon JA, Lyon N et al.. Care after death in children's hospices: recommendations for moving and handling, and for managing physiological deterioration. Nursing children and young people 2022. link 38 Frost J, Hunt J, Hewitt-Taylor J, Lapwood S. Development of a research-based classification of approaches to paediatric palliative medicine service provision within children's and young adults' hospices: A mixed methods study. Palliative medicine 2022. link 39 Fisher V, Atkin K, Fraser LK. The health of mothers of children with a life-limiting condition: A qualitative interview study. Palliative medicine 2022. link 40 Tay DL, Iacob E, Reblin M, Cloyes KG, Jones M, Hebdon MCT et al.. What contextual factors account for anxiety and depressed mood in hospice family caregivers?. Psycho-oncology 2022. link 41 Veldhuijzen van Zanten S, Ferretti E, MacLean G, Daboval T, Lauzon L, Reuvers E et al.. Medications to manage infant pain, distress and end-of-life symptoms in the immediate postpartum period. Expert opinion on pharmacotherapy 2022. link 42 Avci E. The Goals of Medicine and Compassion in the Ethical Assessment of Euthanasia and Physician-Assisted Suicide: Relieving Pain and Suffering by Protecting, Promoting, and Maintaining the Person's Well-Being. Journal of palliative care 2022. link 43 Earle S, Blackburn M. Young adults with life-limiting or life-threatening conditions: sexuality and relationships support. BMJ supportive & palliative care 2021. link 44 Rusalen F, Cavicchiolo ME, Lago P, Salvadori S, Benini F. Perinatal palliative care: a dedicated care pathway. BMJ supportive & palliative care 2021. link 45 Gibson-Smith D, Jarvis SW, Fraser LK. Place of death of children and young adults with a life-limiting condition in England: a retrospective cohort study. Archives of disease in childhood 2021. link 46 Lin SC, Huang MC, Yasmara D, Wuu HL. Impact of palliative care on end-of-life care and place of death in children, adolescents, and young adults with life-limiting conditions: A systematic review. Palliative & supportive care 2021. link 47 Gardiner C, Bolton L. Role and support needs of nurses in delivering palliative and end of life care. Nursing standard (Royal College of Nursing (Great Britain) : 1987) 2021. link 48 Dunbar H, Carter B. Experiencing place identity and place belongingness at a children's hospice: Parents' perspectives. Journal of child health care : for professionals working with children in the hospital and community 2021. link 49 Jamieson L, Harrop E, Johnson M, Liossi C, Mott C, Oulton K et al.. Healthcare professionals' views of the use of oral morphine and transmucosal diamorphine in the management of paediatric breakthrough pain and the feasibility of a randomised controlled trial: A focus group study (DIPPER). Palliative medicine 2021. link 50 Fraser LK, Murtagh FE, Aldridge J, Sheldon T, Gilbody S, Hewitt C. Health of mothers of children with a life-limiting condition: a comparative cohort study. Archives of disease in childhood 2021. link 51 Koot HM. Quality of life in children: the use of parent reports. Developmental medicine and child neurology 2020. link 52 Leung DYP, Chan HYL. Palliative and End-of-Life Care: More Work is Required. International journal of environmental research and public health 2020. link 53 Dunbar H, Carter B, Brown J. 'Place bonding' in children's hospice care: a qualitative study. BMJ supportive & palliative care 2020. link 54 Kuebelbeck A. "Yes to Life" and the Expansion of Perinatal Hospice. Perspectives in biology and medicine 2020. link 55 Grossoehme DH, Humphrey L, Friebert S, Ding L, Yang G, Allmendinger-Goertz K et al.. Patterns of Hospice and Home-Based Palliative Care in Children: An Ohio Pediatric Palliative Care and End-of Life Network Study. The Journal of pediatrics 2020. link 56 Quaresima P, Homfray T, Greco E. Obstetric complications in pregnancies with life-limiting malformations. Current opinion in obstetrics & gynecology 2019. link 57 . Perinatal Palliative Care: ACOG COMMITTEE OPINION SUMMARY, Number 786. Obstetrics and gynecology 2019. link 58 . Perinatal Palliative Care: ACOG COMMITTEE OPINION, Number 786. Obstetrics and gynecology 2019. link 59 Börnhorst C, Heger D, Mensen A. Associations of childhood health and financial situation with quality of life after retirement - regional variation across Europe. PloS one 2019. link 60 Hoell JI, Weber H, Warfsmann J, Trocan L, Gagnon G, Danneberg M et al.. Facing the large variety of life-limiting conditions in children. European journal of pediatrics 2019. link 61 Constantinou G, Garcia R, Cook E, Randhawa G. Children's unmet palliative care needs: a scoping review of parents' perspectives. BMJ supportive & palliative care 2019. link 62 Norman C, Maynard L. Buccal opioids for breakthrough pain in children with life-limiting conditions receiving end-of-life care. International journal of palliative nursing 2019. link 63 Oostendorp LJ, Rajapakse D, Kelly P, Crocker J, Dinsdale A, Fraser L et al.. Documentation of breakthrough pain in narrative clinical records of children with life-limiting conditions: Feasibility of a retrospective review. Journal of child health care : for professionals working with children in the hospital and community 2019. link 64 Siavoshi F, Saniee P. (no title). World journal of gastroenterology 2018. link 65 Wilson MAG, Kurrle S, Wilson I. Medical student attitudes towards older people: a critical review of quantitative measures. BMC research notes 2018. link 66 Burke K, Coombes LH, Menezes A, Anderson AK. The 'surprise' question in paediatric palliative care: A prospective cohort study. Palliative medicine 2018. link 67 Hutcheson S, Maguire H, White C. Evaluation of a pilot service to help young people with life-limiting conditions transition from children's palliative care services. International journal of palliative nursing 2018. link 68 Friedrichsdorf SJ, Kohen DP. Integration of hypnosis into pediatric palliative care. Annals of palliative medicine 2018. link 69 Temkin-Greener H, Mukamel DB, Ladd H, Ladwig S, Caprio TV, Norton SA et al.. Impact of Nursing Home Palliative Care Teams on End-of-Life Outcomes: A Randomized Controlled Trial. Medical care 2018. link 70 McAiney CA, Hillier LM, Paul J, McKinnon Wilson J, Tersigni Phelan A, Wagner F et al.. Improving the seniors' transition from hospital to the community: a case for intensive geriatric service workers. International psychogeriatrics 2017. link 71 Bornet MA, Rubli Truchard E, Rochat E, Pasquier J, Monod S. Factors associated with quality of life in elderly hospitalised patients undergoing post-acute rehabilitation: a cross-sectional analytical study in Switzerland. BMJ open 2017. link 72 Quinn C, McCarthy S, Devins M, O'Reilly M, Twomey M, Ling J. Prioritisation of future research topics in paediatric palliative care in Ireland: a Delphi study. International journal of palliative nursing 2017. link 73 Conner NE, Uddin N. Predictors of Intention to Refer to Pediatric Palliative or Hospice Care. The American journal of hospice & palliative care 2016. link 74 Cobb AD. Acknowledged Dependence and the Virtues of Perinatal Hospice. The Journal of medicine and philosophy 2016. link 75 Baker HE, Brown PP. Teaching retirement financial literacy in an undergraduate gerontology classroom: broadening the concept of the tripod or three-legged stool of retirement income utilizing active learning. Gerontology & geriatrics education 2015. link 76 Beecham E, Candy B, Howard R, McCulloch R, Laddie J, Rees H et al.. Pharmacological interventions for pain in children and adolescents with life-limiting conditions. The Cochrane database of systematic reviews 2015. link 77 . Transition to adult services for young people with-limiting conditions. Nursing children and young people 2014. link 78 Kirk S, Fraser C. Hospice support and the transition to adult services and adulthood for young people with life-limiting conditions and their families: a qualitative study. Palliative medicine 2014. link 79 Zambrano SC, Chur-Hansen A, Crawford GB. How do surgeons experience and cope with the death and dying of their patients? A qualitative study in the context of life-limiting illnesses. World journal of surgery 2013. link 80 Luckett T, Davidson PM, Lam L, Phillips J, Currow DC, Agar M. Do community specialist palliative care services that provide home nursing increase rates of home death for people with life-limiting illnesses? A systematic review and meta-analysis of comparative studies. Journal of pain and symptom management 2013. link 81 Lindley LC. Trends in services among pediatric hospice providers during 2002 to 2008. The American journal of hospice & palliative care 2013. link 82 Bluebond-Langner M, Beecham E, Candy B, Langner R, Jones L. Preferred place of death for children and young people with life-limiting and life-threatening conditions: a systematic review of the literature and recommendations for future inquiry and policy. 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    Original source

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