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Centre for Policy on Ageing | |
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| Dying with dementia in long-term care | | Author(s) | Philip D Sloane, Sheryl Zimmerman, Christianna S Williams |
| Journal title | The Gerontologist, vol 48, no 6, December 2008 |
| Pages | pp 741-751 |
| Source | http://www.geron.org |
| Keywords | Dementia ; Dying ; Terminal care ; Care homes ; Nursing homes ; Social surveys ; United States of America. |
| Annotation | Interviews were conducted with staff who had cared for 422 decedents with dementia and 159 who were cognitively intact and received terminal care in US nursing homes or residential care assisted living (RCAL) settings. Interviews were also conducted with family caregivers of 293 decedents. No differences were noted between decedents with and without dementia in terms of pain, psychosocial status, family involvement, advance care planning, most life-prolonging interventions, and hospice care. Dying residents with dementia tended to die less often in a hospital, have less shortness of breath, receive more physical restraint and sedative medication, and use emergency services less frequently on the last day of life. Those dying in RCAL settings tended to have more skin ulcers and poorer hygiene care than non-demented people in RCAL settings. Compared with people dying with dementia in NHs, those in RCAL settings tended to be restrained less often, have emergency services called more often on the day of death, and have family more satisfied with physician communication. These results suggest that while there are areas where care to the dying could be improved, the overall quality of care for those dying with dementia in long-term care settings may not differ markedly from that provided to those who are cognitively intact. (RH). |
| Accession Number | CPA-090605214 A |
| Classmark | EA: CX: LV: KW: LHB: 3F: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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