The Trend of Aggressive Treatments in End-of-Life Care for Older People With Dementia After a Policy Change in Taiwan

2020 ◽  
Vol 21 (6) ◽  
pp. 858-863.e1 ◽  
Author(s):  
Ying Hsin Hsu ◽  
Ming Yueh Chou ◽  
Hsiu-Min Chen ◽  
Wei-Cheng Chang ◽  
Che Sheng Chu ◽  
...  
Keyword(s):  
Older People ◽  
End Of Life ◽  
Policy Change ◽  
End Of Life Care ◽  
Life Care ◽  
People With Dementia ◽  
Care For Older People

Exploring resource use and associated costs in end-of-life care for older people with dementia in residential care homes

2013 ◽  
Vol 29 (7) ◽  
pp. 758-766 ◽  
Author(s):  
Sarah Amador ◽  
Claire Goodman ◽  
Derek King ◽  
Yi Ting Ng ◽  
Natasha Elmore ◽  
...  
Keyword(s):  
Older People ◽  
End Of Life ◽  
Residential Care ◽  
Resource Use ◽  
End Of Life Care ◽  
Care Homes ◽  
Life Care ◽  
People With Dementia ◽  
Care For Older People

Older people dying with dementia: a nationwide study

2012 ◽  
Vol 24 (10) ◽  
pp. 1581-1591 ◽  
Author(s):  
Koen Meeussen ◽  
Lieve Van den Block ◽  
Michael Echteld ◽  
Nicole Boffin ◽  
Johan Bilsen ◽  
...  
Keyword(s):  
Older People ◽  
End Of Life ◽  
Elderly People ◽  
Cognitive Abilities ◽  
End Of Life Care ◽  
Large Scale ◽  
Care Home ◽  
Life Care ◽  
Early Palliative Care ◽  
People With Dementia

ABSTRACTBackground: Large-scale nationwide data describing the end-of-life characteristics of older people with dementia are lacking. This paper describes the dying process and end-of-life care provided to elderly people with mild or severe dementia in Belgium. It compares with elderly people dying without dementia.Methods: A nationwide retrospective mortality study was conducted, via representative network of general practitioners (GPs) in 2008 in Belgium, with weekly registration of all deaths (aged ≥ 65) using a standardized form. GPs reported on diagnosis and severity of dementia, aspects of end-of-life care and communication, and on the last week of life in terms of symptoms that caused distress as judged by the GP, and the patients’ physical and cognitive abilities.Results: Thirty-one percent of our sample (1,108 deaths) had dementia (43% mildly, 57% severely). Of those, 26% died suddenly, 59% in care home, and 74% received palliative treatment, versus 37%, 19%, and 55% in people without dementia. GP–patient conversations were less frequent among those with (45%) than those without (73%) dementia, and 11% of both groups had a proxy decision-maker. During the last week of life, physical and psychological distress was common in both groups. Of older people with dementia, 83% were incapable of decision-making and 83% were bedridden; both significantly higher percentages than found in the group without dementia (24% and 52%).Conclusions: Several areas of end-of-life care provision could be improved. Early communication and exploration of wishes and appointment of proxy decision-makers are important components of an early palliative care approach which appears to be initiated too infrequently.

The essentials of Advance Care Planning for end-of-life care for older people

2010 ◽  
Vol 19 (3-4) ◽  
pp. 389-397 ◽  
Author(s):  
Sarah Yeun-Sim Jeong ◽  
Isabel Higgins ◽  
Margaret McMillan
Keyword(s):  
Older People ◽  
End Of Life ◽  
Advance Care Planning ◽  
End Of Life Care ◽  
Care Planning ◽  
Life Care ◽  
Advance Care ◽  
Care For Older People

scholarly journals Comparison of end-of-life care for older people living at home and in residential homes: a mortality follow-back study among GPs in the Netherlands

2015 ◽  
Vol 65 (640) ◽  
pp. e724-e730 ◽  
Author(s):  
Yolanda WH Penders ◽  
Lieve Van den Block ◽  
Gé A Donker ◽  
Luc Deliens ◽  
Bregje Onwuteaka-Philipsen
Keyword(s):  
The Netherlands ◽  
Older People ◽  
End Of Life ◽  
End Of Life Care ◽  
Life Care ◽  
Residential Homes ◽  
Care For Older People ◽  
At Home

High-quality end of life care for older people with frailty: helping people to live and die well

2020 ◽  
Vol 81 (9) ◽  
pp. 1-3
Author(s):  
Jennifer Beggs ◽  
Celina Handalage ◽  
Alice Jundi ◽  
Eileen Burns
Keyword(s):  
Older People ◽  
End Of Life ◽  
End Of Life Care ◽  
Healthcare Professionals ◽  
Life Care ◽  
Frail Older People ◽  
High Quality ◽  
Practical Advice ◽  
Care For Older People

Guidance from the British Geriatrics Society provides practical advice to support healthcare professionals who are involved in caring for frail, older people in the last phase of life.

Improving Palliative and End-Of-Life Care for Older People in Ireland: A New Model and Framework for Institutional Care

2009 ◽  
Vol 25 (3) ◽  
pp. 218-226 ◽  
Author(s):  
Sheila Payne ◽  
Katherine Froggatt ◽  
Eamon O'shea ◽  
Kathy Murphy ◽  
Philip Larkin ◽  
...  
Keyword(s):  
Older People ◽  
End Of Life ◽  
End Of Life Care ◽  
Institutional Care ◽  
Life Care ◽  
New Model ◽  
Care For Older People
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