Challenges for professional care of advanced dementia

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dc.contributor.author Chang, E
dc.contributor.author Daly, J
dc.contributor.author Johnson, A
dc.contributor.author Harrison, K
dc.contributor.author Easterbrook, S
dc.contributor.author Bidewell, J
dc.contributor.author Stewart, H
dc.contributor.author Noel, M
dc.contributor.author Hancock, K
dc.date.accessioned 2010-05-28T09:51:44Z
dc.date.issued 2009
dc.identifier.citation International Journal of Nursing Practice, 2009, 15 (1), pp. 41 - 47
dc.identifier.issn 1322-7114
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/9770
dc.description.abstract Qualitative methodology based on action research identified challenges when caring for persons with advanced dementia, as perceived by key professional providers. Data collection was via five focus groups (total n = 24) and 20 follow-up individual interviews. Participants included palliative care, aged care and dementia specialist nurses, medical specialists from an area health service, residential aged care staff and general medical practitioners. Responses emphasized the need for improved knowledge and skills, and clearer policy. Concerns included accurate assessment, especially of pain, owing to the inability of people with advanced dementia to communicate their symptoms. Assessment, managing physical and behavioural symptoms, and communicating with family presented as further challenges. Conclusions are that the need for a palliative approach to care in advanced dementia should be recognized. Aged care staff can deliver palliative care to people with advanced dementia only if the staff receive relevant education and training beyond their generalist competencies. © 2009 Blackwell Publishing Asia Pty Ltd.
dc.language eng
dc.relation.isbasedon 10.1111/j.1440-172X.2008.01723.x
dc.subject Dementia, Health professionals, Nursing home, Palliative care, dementia, health professionals, nursing home, palliative care, Humans, Dementia, Severity of Illness Index, Focus Groups, Questionnaires, Palliative Care, Attitude of Health Personnel, Family Practice, Nursing Methodology Research, Geriatric Nursing, Nursing Homes, Aged, New South Wales, Clinical Competence, Communication Barriers, Qualitative Research, Nursing Assessment, Advance Care Planning, Patient Care Team, Needs Assessment, Family, Advance Care Planning, Aged, Attitude of Health Personnel, Clinical Competence, Communication Barriers, Dementia, Family, Family Practice, Focus Groups, Geriatric Nursing, Humans, Needs Assessment, New South Wales, Nursing Assessment, Nursing Homes, Nursing Methodology Research, Palliative Care, Patient Care Team, Qualitative Research, Questionnaires, Severity of Illness Index, dementia, health professionals, nursing home, palliative care
dc.subject Dementia; Health professionals; Nursing home; Palliative care; dementia; health professionals; nursing home; palliative care; Humans; Dementia; Severity of Illness Index; Focus Groups; Questionnaires; Palliative Care; Attitude of Health Personnel; Family Practice; Nursing Methodology Research; Geriatric Nursing; Nursing Homes; Aged; New South Wales; Clinical Competence; Communication Barriers; Qualitative Research; Nursing Assessment; Advance Care Planning; Patient Care Team; Needs Assessment; Family; Advance Care Planning; Aged; Attitude of Health Personnel; Clinical Competence; Communication Barriers; Dementia; Family; Family Practice; Focus Groups; Geriatric Nursing; Humans; Needs Assessment; New South Wales; Nursing Assessment; Nursing Homes; Nursing Methodology Research; Palliative Care; Patient Care Team; Qualitative Research; Questionnaires; Severity of Illness Index; dementia; health professionals; nursing home; palliative care
dc.title Challenges for professional care of advanced dementia
dc.type Journal Article
dc.description.version Published
dc.description.version Published
dc.parent International Journal of Nursing Practice
dc.journal.volume 1
dc.journal.volume 15
dc.journal.number 1 en_US
dc.publocation Malden en_US
dc.identifier.startpage 41 en_US
dc.identifier.endpage 47 en_US
dc.cauo.name SCI.Faculty of Science en_US
dc.conference Verified OK en_US
dc.for 1110 Nursing
dc.personcode 0000018456 en_US
dc.personcode 104224 en_US
dc.personcode 0000046153 en_US
dc.personcode 0000053959 en_US
dc.personcode 0000022725 en_US
dc.personcode X000021 en_US
dc.personcode 0000052879 en_US
dc.personcode 0000052880 en_US
dc.personcode 994694 en_US
dc.percentage 100 en_US
dc.classification.name Nursing en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity ISI:000262641900006 en_US
dc.description.keywords dementia; health professionals; nursing home; palliative care en_US
dc.description.keywords dementia
dc.description.keywords health professionals
dc.description.keywords nursing home
dc.description.keywords palliative care
dc.description.keywords dementia
dc.description.keywords health professionals
dc.description.keywords nursing home
dc.description.keywords palliative care
dc.description.keywords Dementia
dc.description.keywords Health professionals
dc.description.keywords Nursing home
dc.description.keywords Palliative care
dc.staffid 994694 en_US
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Faculty of Science
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research


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