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{"title":"Assessing palliative care needs in patients with dementia: A cross-sectional analysis of an predominantly oldest-old population from a geriatric memory clinic.","authors":"Luca Tagliafico, Bianca Drago, Silvia Ottaviani, Alessio Nencioni, Fiammetta Monacelli","doi":"10.1177/13872877241290524","DOIUrl":null,"url":null,"abstract":"<p><p>In this cross-sectional study, we assessed palliative care (PC) needs in older adults with dementia. Using the NECPAL CCOMS-ICO<sup>©</sup> 3.1 tool and comprehensive geriatric assessment, 16.25% of the 554 evaluated patients required PC, which had clinical frailty and a moderate stage of dementia. Advanced frailty was associated with the poorest prognosis, according to the PC-based stratification. Our findings support the use of PC assessment in dementia care, which focuses on a person-centered approach while minimizing unnecessary or ineffective treatments and meeting the real-world patient's needs. PC care may fulfill the multidimensional nature of dementia, shifting towards personalized palliative approaches.</p>","PeriodicalId":14929,"journal":{"name":"Journal of Alzheimer's Disease","volume":" ","pages":"13872877241290524"},"PeriodicalIF":3.4000,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Alzheimer's Disease","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/13872877241290524","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NEUROSCIENCES","Score":null,"Total":0}
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Abstract
In this cross-sectional study, we assessed palliative care (PC) needs in older adults with dementia. Using the NECPAL CCOMS-ICO© 3.1 tool and comprehensive geriatric assessment, 16.25% of the 554 evaluated patients required PC, which had clinical frailty and a moderate stage of dementia. Advanced frailty was associated with the poorest prognosis, according to the PC-based stratification. Our findings support the use of PC assessment in dementia care, which focuses on a person-centered approach while minimizing unnecessary or ineffective treatments and meeting the real-world patient's needs. PC care may fulfill the multidimensional nature of dementia, shifting towards personalized palliative approaches.
评估痴呆症患者的姑息关怀需求：对一家老年记忆门诊中最年长人群的横断面分析。
在这项横断面研究中，我们评估了老年痴呆症患者的姑息关怀（PC）需求。通过使用 NECPAL CCOMS-ICO© 3.1 工具和综合老年病评估，554 名接受评估的患者中有 16.25% 需要姑息治疗，这些患者都有临床虚弱和中度痴呆的症状。根据基于 PC 的分层，晚期虚弱与最差的预后有关。我们的研究结果支持在痴呆症护理中使用 PC 评估，它侧重于以人为本的方法，同时最大限度地减少不必要或无效的治疗，并满足现实世界中患者的需求。PC护理可满足痴呆症的多维性，转向个性化的姑息治疗方法。
本文章由计算机程序翻译，如有差异，请以英文原文为准。
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