Practices, challenges, and opportunities when addressing the palliative care needs of people living with dementia: Specialty memory care provider perspectives

Abstract Introduction Palliative care focuses on reducing suffering and improving quality of life for individuals with serious illness and their families. In an effort to develop palliative care interventions for specialty memory care clinics, this study characterizes memory care providers’ perspect...

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Main Authors: Alissa Bernstein Sideman, Krista L. Harrison, Sarah B. Garrett, Georges Naasan, Dementia Palliative Care Writing Group, Christine S. Ritchie
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Alzheimer’s & Dementia: Translational Research & Clinical Interventions
Subjects:
Online Access:https://doi.org/10.1002/trc2.12144
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author Alissa Bernstein Sideman
Krista L. Harrison
Sarah B. Garrett
Georges Naasan
Dementia Palliative Care Writing Group
Christine S. Ritchie
author_facet Alissa Bernstein Sideman
Krista L. Harrison
Sarah B. Garrett
Georges Naasan
Dementia Palliative Care Writing Group
Christine S. Ritchie
author_sort Alissa Bernstein Sideman
collection DOAJ
description Abstract Introduction Palliative care focuses on reducing suffering and improving quality of life for individuals with serious illness and their families. In an effort to develop palliative care interventions for specialty memory care clinics, this study characterizes memory care providers’ perspectives on addressing palliative care needs of people living with dementia (PLWD). Methods Qualitative interviews with specialty memory care providers were followed by thematic analysis by a multidisciplinary research team. Results Provider approaches overlap with key domains of palliative care. Approaches unique to dementia include having a detailed understanding of dementia syndromes, behavioral symptoms, and caregiver burden. Challenges were identified related to disease progression, provider‐level factors, and systems and cultural issues. Respondents identified training needed to strengthen a palliative care approach. Discussion There are many strengths of using memory care teams to address palliative care needs of PLWD. However, they may require additional knowledge and training to strengthen their work.
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spelling doaj.art-f2c1561b5dbe49af9dfcea35175687e62022-12-22T04:11:35ZengWileyAlzheimer’s & Dementia: Translational Research & Clinical Interventions2352-87372021-01-0171n/an/a10.1002/trc2.12144Practices, challenges, and opportunities when addressing the palliative care needs of people living with dementia: Specialty memory care provider perspectivesAlissa Bernstein Sideman0Krista L. Harrison1Sarah B. Garrett2Georges Naasan3Dementia Palliative Care Writing Group4Christine S. Ritchie5Philip R. Lee Institute for Health Policy Studies University of California, San Francisco San Francisco California USAGlobal Brain Health Institute University of California, San Francisco San Francisco California USAPhilip R. Lee Institute for Health Policy Studies University of California, San Francisco San Francisco California USANeurology Icahn School of Medicine at Mount Sinai New York New York USAGlobal Brain Health Institute University of California, San Francisco San Francisco California USAGlobal Brain Health Institute University of California, San Francisco San Francisco California USAAbstract Introduction Palliative care focuses on reducing suffering and improving quality of life for individuals with serious illness and their families. In an effort to develop palliative care interventions for specialty memory care clinics, this study characterizes memory care providers’ perspectives on addressing palliative care needs of people living with dementia (PLWD). Methods Qualitative interviews with specialty memory care providers were followed by thematic analysis by a multidisciplinary research team. Results Provider approaches overlap with key domains of palliative care. Approaches unique to dementia include having a detailed understanding of dementia syndromes, behavioral symptoms, and caregiver burden. Challenges were identified related to disease progression, provider‐level factors, and systems and cultural issues. Respondents identified training needed to strengthen a palliative care approach. Discussion There are many strengths of using memory care teams to address palliative care needs of PLWD. However, they may require additional knowledge and training to strengthen their work.https://doi.org/10.1002/trc2.12144advance care planningcaregivingdementiaend‐of‐lifememory carepalliative care
spellingShingle Alissa Bernstein Sideman
Krista L. Harrison
Sarah B. Garrett
Georges Naasan
Dementia Palliative Care Writing Group
Christine S. Ritchie
Practices, challenges, and opportunities when addressing the palliative care needs of people living with dementia: Specialty memory care provider perspectives
Alzheimer’s & Dementia: Translational Research & Clinical Interventions
advance care planning
caregiving
dementia
end‐of‐life
memory care
palliative care
title Practices, challenges, and opportunities when addressing the palliative care needs of people living with dementia: Specialty memory care provider perspectives
title_full Practices, challenges, and opportunities when addressing the palliative care needs of people living with dementia: Specialty memory care provider perspectives
title_fullStr Practices, challenges, and opportunities when addressing the palliative care needs of people living with dementia: Specialty memory care provider perspectives
title_full_unstemmed Practices, challenges, and opportunities when addressing the palliative care needs of people living with dementia: Specialty memory care provider perspectives
title_short Practices, challenges, and opportunities when addressing the palliative care needs of people living with dementia: Specialty memory care provider perspectives
title_sort practices challenges and opportunities when addressing the palliative care needs of people living with dementia specialty memory care provider perspectives
topic advance care planning
caregiving
dementia
end‐of‐life
memory care
palliative care
url https://doi.org/10.1002/trc2.12144
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