Implementing palliative and end of life care for people with dementia.

Diane Drain, Louisa Stone, Rachel Louise Daly
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Abstract

Dementia is characterised by memory loss, behavioural changes and decline of cognitive, social and physical functions and is a life-limiting condition. At the point of diagnosis it is classed as a palliative condition, yet there is limited public and healthcare professional awareness that, once diagnosed, a person will either die of dementia or die with dementia. This article discusses how the recognition and timing of the need for palliative dementia care is pivotal in providing person-centred care. The authors explore factors such as optimal prognostication, advance care planning, staff education and accessing support from palliative and end of life care teams and Admiral Nurses. The authors also use a fictional case study to demonstrate best practice in palliative dementia care.

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为痴呆症患者实施姑息治疗和临终关怀。
痴呆症的特征是记忆力减退、行为改变以及认知、社交和身体功能衰退,是一种限制生命的疾病。在确诊时,痴呆症被归类为姑息性疾病,然而公众和医疗保健专业人员对痴呆症的认识却很有限,一旦确诊,患者要么死于痴呆症,要么死于痴呆症。本文讨论了在提供以人为本的护理服务时,如何认识到姑息治疗痴呆症的必要性并把握时机。作者探讨了一些因素,如最佳预后、预先护理计划、员工教育以及从姑息关怀和生命末期关怀团队和海军上将护士那里获得支持。作者还通过一个虚构的案例研究来展示姑息治疗痴呆症的最佳实践。
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