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Centre for Policy on Ageing | |
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Quality of dying of nursing home residents with dementia as judged by relatives | Author(s) | Nicole van Uden |
Journal title | International Psychogeriatrics, vol 25, no 10, October 2013 |
Publisher | Cambridge University Press, October 2013 |
Pages | pp 1697-1707 |
Source | journals.cambridge.org/ipg |
Keywords | Dementia ; Residents [care homes] ; Nursing homes ; Dying ; Terminal care ; Quality of life ; Belgium ; Netherlands ; Comparison. |
Annotation | Providing good quality care for the growing number of patients with dementia is a major challenge. There is little international comparative research on how people with dementia die in nursing homes. This study compared the relative's judgment on quality of care at the end of life and quality of dying of nursing home residents with dementia in Belgium and the Netherlands. This was a Belgian cross-sectional retrospective study (2010) combined with a prospective and retrospective study from the Netherlands (January 2007_July 2011). Relatives of deceased residents of 69 Belgian and 34 Dutch nursing homes were asked to complete questionnaires. The study included 190 and 337 deceased nursing home residents with dementia in Belgium and the Netherlands respectively. Of all identified deceased nursing home residents with dementia, respectively 53.2% and 74.8% of their relatives in Belgium and the Netherlands responded. Comfort while dying was rated better for Dutch nursing home residents than for Belgian nursing homes residents. No differences were found between countries regarding satisfaction with care or symptom frequency in the last month of life. Although nursing home structures differ between Belgium and the Netherlands, the quality of care in the last month of life for residents with dementia is similar according to their relatives. However, Dutch residents experience less discomfort while dying. The results suggest room for improved symptom management in both countries and particularly in the dying phase in Belgium. (JL). |
Accession Number | CPA-130920228 A |
Classmark | EA: KX: LHB: CX: LV: F:59: 76E: 76H: 48 |
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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