Perceptions of quality of life among elderly people in palliative care

Authors

DOI:

https://doi.org/10.36517/2175-6783.20262796235

Keywords:

Palliative Care; Aged; Quality of Life; Death; Nursing Theory.

Abstract

Objective: to understand perceptions of quality of life among elderly people receiving palliative care. Methods: a qualitative study was conducted in two charitable hospitals involving elderly people receiving palliative care, considering the Peaceful End of Life Theory. The Convergent Care Research technique was used, with interviews. The textual corpus was processed using IRaMuTeQ software. Results: twenty-nine elderly people (aged 66–70), mainly men, retired, married, diagnosed with chronic renal failure or cancer, participated. It was identified that interpersonal relationships, spirituality, hope, and leisure activities sustain quality of life and help individuals cope with pain and finitude. Conclusion: the perception of quality of life involves multiple dimensions of living and dying, which corroborate the assumptions of the Peaceful End of Life Theory. Contributions to practice: the study supports nursing in the qualification of palliative care practices for the elderly, particularly in emotional support, symptom management, and therapeutic communication.

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References

1. Pageau F, Fiasse G, Nordenfelt L, Mihailov E. Care of the older person and the value of human dignity. Bioethics. 2024;38(1):44-51. doi: https://doi.org/10.1111/bioe.13251

2. Silva MLS, Carvalho MAP, Gomes FC, Galindo Junior JUF, Batista SCDD. Multidiciplinary pratices for hospitalized elderly people in palliative care: a scoping review. Rev Enferm Atual In Derme. 2025;99:e025048. doi: https://doi.org/10.31011/reaid-2025-v.99-n.Ed.Esp-art.2390

3. Costa GMC, Monteiro GKNA, Rodrigues RCS, Vasconcelos SC, Soares JS, Souto RQ. Quality of life and associated factors in the multidimensional assessment of hospitalized elderly: cross-sectional study. Estud Interdiscipl Envelhec. 2024;29(1):e135543. doi: http://doi.org/10.22456/2316-2171.135543

4. Chung V, Sun V, Ruel N, Smith TJ, Ferrell BR. Improving palliative care and quality of life in pancreatic cancer patients. J Palliat Med. 2022;25(5):720-7. doi: https://doi.org/10.1089/jpm.2021.0187

5. Paiva CF, Silva CPG, Santos TCF, Augusto PS, Ennes LD, Almeida Filho AJ. Oncology nursing and palliative care in a reference institution (2005-2006). Texto Contexto Enferm. 2023;32:e2023010632. doi: https://dx.doi.org/10.1590/1980-265X-TCE-2023-0106en

6. Düzgün G, Karadakovan A. Effect of music on pain in cancer patients in palliative care service: a randomized controlled study. Omega (Westport). 2024;88(3):1085-100. doi: https://dx.doi.org/10.1177/00302228211059891

7. Ruland CM, Moore SM. Theory construction based on standards of care: a proposed theory of the peaceful end of life. Nurs Outlook. 1998;46(4):169-75. doi: http://doi.org/10.1016/s0029-6554(98)90069-0

8. Jimenez OB, Trajera SM, Ching GS. Providing end-of-life care to COVID-19 patients: the lived experiences of ICU nurses in the Philippines. Int J Environ Res Public Health. 2022;19(19):12953. doi: https://doi.org/10.3390/ijerph191912953

9. Furtado MA, Nogueira VP, Araújo MCP, Cestari VRF, Pessoa VLMP, et al. Palliative care for SARS-CoV-2 patients in the intensive care unit: a comprehensive study. Rev Bras Enferm. 2024;77:e20230218. doi: https://doi.org/10.1590/0034-7167-2023-0218

10. Matos Júnior JM, Pinheiro AS, Reis DST, Borges WD, Sonobe HM, Correa Júnior AJS. Palliative care of nursing in the pandemic scenario according to the pacific end-of-life theory. Rev Pesq Cuid Fundam Online. 2023;15:e12037. doi: https://doi.org/10.9789/2175-5361.rpcfo.v15.12037

11. Trentini M, Paim L, Silva DMGV. The convergent care research method and its application in nursing practice. Texto Contexto Enferm. 2017;26(4):e1450017. doi: https://dx.doi.org/10.1590/0104-07072017001450017

12. Ministério da Saúde (BR). Manual de Cuidados Paliativos. Hospital Sírio-Libanês [Internet]. 2023 [cited Jun 5, 2025]. Available from: http://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/guias-e-manuais/2023/manual-de-cuidados-paliativos-2a-edicao/@@download/file

13. Ferreira PCS, Moreira MN, Lourenço RA. Cross-cultural adaptation of the Karnofsky Performance Status instrument to Brazilian Portuguese. Rev Col Bras Cir. 2024;51:e20243771. doi: https://doi.org/10.1590/0100-6991e-20243771

14. Bertolucci PH, Bruckl SMD, Campacci SR, Juliani Y. The Mini-Mental State examination in an outpatient population: influence of literacy. Arq Neuro-Psiquiatr. 1994;52(1):1-7. doi: http://doi.org/10.1590/S0004-282X1994000100001

15. Alghadir AH, Anwer S, Lqbal A, Lqbal ZA. Test-retest reliability, validity, and minimum detectable change of visual analog numerical rating and verbal rating scales for measurement of osteoarthritic knee pain. J Pain Res. 2018;26(11):851-6. doi: http://doi.org/10.2147/jpr.s158847

16. Campos CJG, Saidel MGB. Sampling in qualitative research: concepts and applications to the field of health. Rev Pesqui Qual. 2022;10(25):404-24. doi: http://doi.org/10.33361/RPQ.2022.v.10.n.25.545

17. Fleck MP, Chachamovich E, Trentini C. Development and validation of the Portuguese version of the WHOQOL-OLD module. Rev Saúde Pública. 2006;40(5):785-91. doi: http://doi.org/10.1590/S0034-89102006000600007

18. Martins KN, Paula MC, Gomes LPS, Santos JE. Iramuteq software as a resourcefor discursive textual analysis. Rev Pesq Qual. 2022;10(24):213-32. doi: http://doi.org/10.33361/RPQ.2022.v.10.n.24.383

19. Santos JC, Sena AS, Anjos JM. Spirituality and religiosity in the approach to patients under palliative care. Rev Bioét. 2022;30(2):382-90. doi: http://dx.doi.org/10.1590/1983-80422022302534EN

20. Okuma GY, Manhães MFM, Pedras RN, Azevedo IM, Domenico EBL, Bergerot CD. Espiritualidade, religiosidade, estress e qualidade de vida em pacientes oncológicos. Rev Psicol Saúde. 2021; 13(2):3-17. doi: https://doi.org/10.20435/pssa.v13i2.1097

21. Alves MBA, Silva VA, Almeida ARLP, Pereira RCD, Barbosa LC, Silva RS. Care for the institutionalized elderly in the perspective of a peaceful end of life. Ciênc Cuid Saúde. 2023;22:e65964. doi: http://dx.doi.org/10.4025/ciencuidsaude.v22i0.65964

22. Andrade CG, Costa ICP, Batista PSS, Alves AMPM, Costa BHS, Nassif MS, et al. Palliative care and communication: a reflection in the light of the peaceful end of life theory. Cogitare Enferm. 2022;27:e80917. doi: https://doi.org/10.5380/ce.v27i0.80917

23. Araújo-Monteiro GKN, Santos RC, Leal CQAM, Brandão MLS, Souto RQ, Freitas WMF, et al. Assessment of life satisfaction and risk of violence in elderly. Rev Pesqui Cuid Fundam Online. 2023; 15:e11080. doi: https://doi.org/10.9789/2175-5361.rpcfo.v15.11080

24. Choi Y Y, Hong B, Rha SY, Cho S, Lee HS, Lee J. The effect of nurse-led enhanced supportive care as an early primary palliative care approach for patients with advanced cancer: a randomized controlled trial. Int Nurs Stud. 2025;168:105102. doi: https://doi.org/10.1016/j.ijnurstu.2025.105102

25. Fingerman KL, Kim YK, Ng YT, Zhang S, Huo M, Birditt KS. Television viewing, physical activity, and loneliness in late life. Gerontologist. 2022;62(7):1006-17. doi: http://doi.org/10.1093/geront/gnab120

26. Uysal DA, Aykar FS, Uyar M. The effects of aromatherapy and music on pain, anxiety, and stress levels in palliative care patients. Support Care Cancer. 2024;32(10):632. doi: https://doi.org/10.1007/s00520-024-08837-0

Published

2026-02-24

Data Availability Statement

The authors declare that the data are fully available in the body of the article. 

Issue

Section

Research Article

How to Cite

1.
Araújo EMNF de, Lordão AV, Costa ICP, Agra G, Alves AMP de M, Batista PS de S, et al. Perceptions of quality of life among elderly people in palliative care. Rev Rene [Internet]. 2026 Feb. 24 [cited 2026 Mar. 4];27:e96235. Available from: https://periodicos.ufc.br/rene/article/view/96235