Primary health care research & development
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Prim Health Care Res Dev · Oct 2014
ReviewPalliative and end of life care for people with dementia: lessons for clinical commissioners.
To synthesize information about management of end of life care in people with dementia using review papers. ⋯ Our critical synthesis generated five main themes from this review of the reviews: (1) carers' (family caregivers') experiences; (2) person-centred care; (3) practice (including advance care planning, pain and comfort, nutrition, medical complications and minimizing the distress of behavioural symptoms); (4) system factors, including ethical dilemmas, decision making, information, and training; and (5) research priorities. There appears to be good evidence on the care and management of patients with dementia at the end of life which can be used to influence policy development and emerging specificity about research priorities in palliative care practice for people with dementia.