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Related Concept Videos

Continuing Care01:25

Continuing Care

Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Alzheimer's Disease: Treatment

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Dementia01:30

Dementia

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Dementia l: Introduction01:22

Dementia l: Introduction

Dementia is an acquired, progressive syndrome characterized by a decline in multiple cognitive domains severe enough to impair daily functioning and reduce independence. Although memory loss is a central feature, the diagnosis requires additional deficits involving language, executive function, visuospatial skills, judgment, calculation, or abstract reasoning. These cognitive impairments reflect underlying neurodegenerative or vascular processes that gradually disrupt neuronal networks...
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Palliative care for advanced dementia.

Carol O Long1

  • 1A Model Teaching Unit, Beatitudes Campus, Phoenix, Arizona, USA. carollong@cox.net

Journal of Gerontological Nursing
|November 13, 2009
PubMed
Summary
This summary is machine-generated.

Palliative care is essential for advanced dementia patients, focusing on personhood, behavior, meaningful activities, and medical management. This review guides best practices for end-of-life care, ensuring comfort and dignity.

Related Experiment Videos

Area of Science:

  • Gerontology
  • Palliative Care Medicine
  • Neurology

Background:

  • Advanced dementia is a terminal illness with significant care challenges.
  • Individuals with advanced dementia often undergo burdensome interventions.
  • Palliative care is crucial for individuals with advanced dementia well before death.

Purpose of the Study:

  • To review best practices in palliative care for advanced dementia.
  • To identify approaches supporting personhood and managing challenging behaviors.
  • To guide medical management and the use of advance directives.

Main Methods:

  • Literature review of selected approaches for advanced dementia care.
  • Synthesis of principles for behavior management and maintaining connections.
  • Examination of strategies to minimize weight loss and optimize medical care.

Main Results:

  • Effective strategies exist to support personhood and engagement in activities of daily living.
  • Behavior management principles can be applied to reduce distress.
  • Minimizing weight loss and appropriate medical management are key components of palliative care.
  • Advance directives are vital for respecting patient autonomy.

Conclusions:

  • Palliative care for advanced dementia should prioritize personhood, dignity, and quality of life.
  • A multidisciplinary approach is necessary for comprehensive care.
  • Implementing best practices improves outcomes and reduces burdensome interventions.