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Updated: Jan 31, 2026

Using Retinal Imaging to Study Dementia
Published on: November 6, 2017
Palliative care in dementia: a fragmented pathway?
Karen Harrison Dening1, Caroline Scates2, Mari Lloyd-Williams3
1Head of Research and Publications and Honorary Research Fellow, Admiral Nursing, Dementia UK, Academic Palliative and Supportive Care Studies Group (APSCSG).
Older adults, especially those with dementia, face challenges accessing palliative care. The Admiral Nurse case management approach offers a structured solution to improve end-of-life care for this population.
Area of Science:
- Gerontology
- Palliative Care
- Dementia Care
Background:
- Older adults (over 65) experience inequitable access to palliative and end-of-life care.
- Individuals with dementia face additional barriers to receiving adequate palliative care.
- Identifying the end-of-life stage for dementia patients is complex, despite UK guidance recommending flexible, needs-based palliative care from diagnosis.
Purpose of the Study:
- To describe the Admiral Nurse case management approach.
- To benchmark this approach against European Association of Palliative Care (EAPC) recommendations for dementia palliative care.
Main Methods:
- Case study description of the Admiral Nurse model.
- Comparative analysis against EAPC white paper guidelines for palliative care in dementia.
Main Results:
- The Admiral Nurse approach provides a structured framework for palliative care delivery in dementia.
- Benchmarking highlights alignment and potential areas for enhancement in dementia palliative care provision.
Conclusions:
- The Admiral Nurse case management model offers a viable strategy to address gaps in palliative care for people with dementia.
- This approach supports the delivery of flexible, needs-based care, aligning with best practice recommendations.
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