Navigation Links
End-stage dementia patients deserve the same access to palliative care as people with cancer
Date:5/12/2008

There is an urgent need to improve end-of-life care for older people in the final stages of dementia, according to an international review published in the May issue of Journal of Clinical Nursing.

We must act now to stop people with dementia from suffering from protracted, potentially uncomfortable and undignified deaths says Jan Draper, Professor of Nursing for The Open University, UK.

The management of dementia is becoming a major international public health concern because people are living longer which means that more people are likely to develop this disease.

Professor Draper teamed up with Deborah Birch, a Clinical Nurse Specialist working with older people in Lincoln,UK, to review 10 years of published research. They carried out a detailed analysis of 29 studies, from the USA, UK, Canada, Israel, Switzerland, Ireland, the Netherlands, Sweden and Finland.

Our review has reinforced the importance of providing appropriate palliative care to individuals suffering from end-stage dementia and clearly identified some of the barriers to extending such provision says Professor Draper.

These include concerns that such an expansion might lead to skills and funding shortages and, in turn, compromise the ability of existing palliative care teams to provide care to cancer patients, who tend to be the main recipients of this kind of care.

We believe that clinicians and patient groups caring for patients with advanced dementia need to work together with specialist palliative care providers and health commissioners to develop, fund and evaluate appropriate cost-effective services that meet the needs of both patients and their families.

If this is achieved, these improvements have the potential to increase peoples quality of life and reduce the amount of time they spend in acute hospitals.

Birch and Draper say that the findings of their review indicate a number of ways that colleagues across healthcare disciplines can work together to enhance the quality of care they provide older people in the end stages of dementia. These include:

  • Communicating the diagnosis of dementia in a sensitive way and indicating, as clearly as possible, how the disease is likely to progress.

  • Acknowledging the potential influence that the individual beliefs and values of the healthcare team - such as difficult drug and treatment decisions - may have on the care provided.

  • Improving and providing timely and accurate communication about key issues, including the role of advanced directives, such as living wills or do not resuscitate orders.

  • Reconsidering aggressive medical treatments that have limited benefits and may cause further discomfort to dying patients.

  • Encouraging professionals, carers and, where possible, patients to work together to plan appropriate care tailored to the needs of the individual.

  • Reinforcing the need for multi-disciplinary ways of working.

  • Reconsidering the most appropriate place to deliver end-of-life care.

  • Acknowledging the right of all older people dying from end-stage dementia to have access to high-quality specialist palliative care services.

Palliative care services are used to providing care for cancer patients, but high-quality care for people with end-stage dementia does not appear to be given the same priority says Professor Draper.

In the UK, for example, it has been a relatively neglected topic in relation to policy, planning, practice development and training.

Population trends suggest that life expectancy is increasing and this will mean that more people are at risk of developing dementia, which affects one in 1,000 people under 65 but rises to one in five once people are over 85.

Dementia is a progressive terminal illness for which there is currently no cure and patients dying from the disease have significant healthcare needs.

Despite this, they are often denied the palliative care services that could improve their comfort and quality of life.


'/>"/>

Contact: Annette Whibley
wizard.media@virgin.net
Wiley-Blackwell
Source:Eurekalert

Related medicine news :

1. Early Weight Loss in Women Linked to Dementia
2. Smokers More Likely to Develop Dementia
3. PA Soldiers and Sailors Home Dedicates 32-Bed Dementia/Alzheimers Unit
4. Antidepressant shows early promise in treating agitation and psychotic symptoms of dementia
5. Antidepressant as Good as Antipsychotics for Dementia
6. Falling Platelet Counts May Signal HIV-Linked Dementia
7. Tooth loss, dementia may be linked, JADA study suggests
8. Building efficient, effective, locally sensitive solutions for dementia care
9. Editorial says primary care system must change how it approaches dementia
10. Tooth Troubles Could Raise Dementia Risk
11. Dementia in More Educated Hits Later But Harder
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/13/2016)... ... 13, 2016 , ... Christie Medical Holdings, Inc. presented the ... VeinViewer® Vision vein finder for the nursing school simulation lab. This ... draw blood, combining technology with traditional technique. , “VeinViewer is a wonderful new ...
(Date:2/12/2016)... ... February 12, 2016 , ... Mystic Buddha Publishing House presents Valentine’s Day ... the biography of Rama - Dr. Frederick Lenz. , According to Publisher ... a Buddhist teacher for teaching and helping others. Valentine’s Day celebrates love in ...
(Date:2/12/2016)... VA (PRWEB) , ... February 12, 2016 , ... ... Feb. 29, 2016 — 1:30 p.m. – 3:00 p.m. EST, http://www.fdanews.com/fixeddosecombination ... in the life cycle of pharmaceutical products, garnering increased attention from all stakeholders ...
(Date:2/12/2016)... (PRWEB) , ... February 12, 2016 , ... ... Lean Leadership Series at Zuckerberg San Francisco General Hospital on April 5-7. The ... new behaviors and create new habits. The workshops cover a broad range of ...
(Date:2/12/2016)... (PRWEB) , ... February 12, 2016 , ... The Jones ... other communities across eastern Texas, is launching a cooperative charity drive with the Tarrant ... , Serving more than 50,000 individuals and families in need, the Tarrant County Food ...
Breaking Medicine News(10 mins):
(Date:2/12/2016)... 12, 2016  Sequent Medical, Inc. announced today that ... evaluate the safety and effectiveness of the WEB™ Aneurysm ... intracranial aneurysms.  Prof Laurent Spelle , MD, Head ... Paris, France and Principal Investigator of the ... France and Germany.  Although patients with ruptured ...
(Date:2/12/2016)... 12, 2016  Eli Lilly and Company (NYSE: LLY ... Alimta® (pemetrexed disodium) vitamin regimen patent would not presently be ... France , Italy and ... product only with dextrose solution.  --> ... Court of Appeal held that Lilly,s patent would be indirectly ...
(Date:2/12/2016)... WILMINGTON, North Carolina , 12 februari ... Laboratories, Inc. (AAI/CML), een toonaangevende leverancier van ... farmaceutische en biotechnologische industrieën, kondigt vandaag een ... en mogelijkheden op haar locatie in ... in vraag heeft geleid tot meerdere recente ...
Breaking Medicine Technology: