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Centre for Policy on Ageing | |
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End of life care for community dwelling older people with dementia
— an integrated review | | Author(s) | Claire Goodman, Catherine Evans, Jane Wilcock |
| Journal title | International Journal of Geriatric Psychiatry, vol 25, no 4, April 2010 |
| Pages | pp 329-337 |
| Source | http://www.interscience.wiley.com/journal/gps doi: 10.1002/gps.2343 |
| Keywords | Dementia ; Terminal care ; Living in the community ; Care homes ; Nursing homes ; Qualitative Studies ; Quantitative studies ; Literature reviews. |
| Annotation | An integrated review synthesised the qualitative and quantitative evidence on end of life care for community dwelling older people with dementia. English language studies that focused on prognostic indicators for end of life care assessment, support and/or relief, respite and educational interventions for community-dwelling older people with dementia were included. A user representative group informed decisions and the breadth of literature used. Each study selected was screened independently by two reviewers using a standardised checklist. 68 papers were included. Only 17% (12) exclusively concerned living and dying with dementia at home. 6 studies included direct evidence from people with dementia. The studies grouped into four broad categories: dementia care towards the end of life; palliative symptom management for people with dementia; predicting the approach of death for people with dementia; and decision-making. Most of the studies were descriptive. The few studies that developed dementia-specific tools to guide end of life care and outcome measures specific to improve comfort and communication demonstrated what could be achieved, and how much more needs to be dome. Research on end of life care for people with dementia has yet to develop interventions that address the particular challenges that dying with dementia poses. There is a need for investigation of interventions and outcome measures for providing end of life care in the settings where the majority of this population live and die. (RH). |
| Accession Number | CPA-100702001 A |
| Classmark | EA: LV: K4: KW: LHB: 3DP: 3DQ: 64A |
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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