Residents expressed, inter alia, the following wishes: not to receive life-prolonging measures, not to have pain, not to be in need of care or bedridden, to receive affection while dying and to find forgiveness and reconciliation as well as to die peacefully in the residential and/or nursing home. In addition, there were a variety of wishes, which, due to their diversity make a unified approach to the palliative care of older people in residential and/or nursing homes impractical. The study showed that residents are thinking about dying and/or death, have desires for their dying and are also willing to talk about it. The recording and the translation of these wishes and also the response to the residents' fears can be achieved by the implementation of a palliative culture and the training of employees.
With this new and for the first time authorized German translation of the POMA a version of this assessment is available that achieves unification and standardization in German speaking countries and guarantees an improved comparability with international studies.
Pastoral carers can make a positive contribution to the holistic care of PwD through their unique communicative and relationship approach to care. It is imperative to develop adequate pastoral care concepts and to integrate methodologies for dealing with PwD into the training curriculum of pastoral carers.
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