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Nursing Leadership and Palliative Care in Long-Term Care for Residents with Advanced Dementia
Ruth Palan Lopez1, Alison E Kris2, Sarah C Rossmassler1
1MGH Institute of Health Professions School of Nursing, 36 First Avenue, Boston, MA 02129, USA.
Abstract:
Alzheimer disease and related dementias (ADRD) are irreversible, progressive brain disorders. Many people with ADRD experience the final stage of the disease, advanced dementia, in nursing homes (NHs). Although palliative care, including symptom management and emotional support for caregivers, is advocated for those with advanced dementia, many NH residents experience potentially burdensome interventions, such as feeding tubes, hospital transfers, and intensive rehabilitation. Nurses play a critical role in ensuring high-quality palliative care to residents with advanced dementia. The aim of this article is to raise awareness of the palliative care needs of NH residents with advanced dementia.
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