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The basis, ethics and provision of palliative care for dementia: A review

Lookup NU author(s): Dr Fariba Mahin-Babaei, Professor Julian Hughes

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Abstract

Interest in palliative care for people with dementia has been around for over two decades. There are clinical and ethical challenges and practical problems around the implementation of good quality palliative care in dementia. This narrative review of the literature focuses on the rationale or basis for services, some of the ethical issues that arise (particularly to do with artificial nutrition and hydration) and on the provision and implementation of services. We focus on the most recent literature. The rationale for palliative care for people with dementia is based on research and on an identified need for better clinical care. But the research largely demonstrates a paucity of good quality evidence, albeit particular interventions (and non-interventions) can be justified in certain circumstances. Numerous specific clinical challenges in end-of-life care for people with dementia are ethical in nature. We focus on literature around artificial nutrition and hydration and conclude that good communication, attention to the evidence and keeping the well-being of the person with dementia firmly in mind will guide ethical decision-making. Numerous challenges surround the provision of palliative care for people with dementia. Palliative care in dementia has been given definition, but can still be contested. Different professionals provide services in different locations. More research and education are required. No single service can provide palliative care for people with dementia. (C) 2015 Elsevier Ireland Ltd. All rights reserved.


Publication metadata

Author(s): Mahin-Babaei F, Hilal J, Hughes JC

Publication type: Review

Publication status: Published

Journal: Maturitas

Year: 2016

Volume: 83

Pages: 3-8

Print publication date: 01/01/2016

Online publication date: 16/09/2015

Acceptance date: 15/09/2015

ISSN (print): 0378-5122

ISSN (electronic): 1873-4111

Publisher: ELSEVIER IRELAND LTD

URL: http://dx.doi.org/10.1016/j.maturitas.2015.09.003

DOI: 10.1016/j.maturitas.2015.09.003


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