Palliative care in dementia: Does it work?

Dening, Tom; Dening, Karen Harrison

doi:10.1016/j.maturitas.2015.10.006

Cited by 2 publications

(3 citation statements)

References 3 publications

(3 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The reality that DPs are highly in need of PC was neglected worldwide until 2000 and it has been on the agenda more frequently in healthcare policies and in the literature due to the fact that chronic diseases and dependencies of elderly have increased in recent years (7,8). During the advanced stage of dementia, the symptoms that reduce the quality of life are studied in the literature (10)(11)(12).…”

Section: Discussionmentioning

confidence: 99%

“…In the past, dementia care attracted little interest, but now it has become a global agenda in the scopes of healthcare, education, social care, economics, politics, and research (7). Together with an increase in the number of patients, the care and problems associated with the treatment of DPs have created a greater interest in PC for these patients (8).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A retrospective study examining the properties and characteristics of dementia patients in a palliative care center

Dinçer¹

2018

Turk J Med Sci

View full text Add to dashboard Cite

Background/aim: The aim of this study is to evaluate why dementia patients (DPs) are admitted to a palliative care center (PCC) and which factors affect the length of stay (LOS) of DPs in the PCC, and to predict the course of the disease. Materials and methods: The files of DPs were scanned retrospectively in the PCC between 2013 and 2016. Data related to age, sex, LOS, symptoms, clinical conditions, comorbidities, and prognosis were recorded. Results: The study included 85 DPs with a mean age of 84.1 ± 6.7 years. LOS was determined as a median of 15.0 days. While LOS decreased due to age and cancer, it increased due to pressure injury. Although mortality was increased by LOS, it was decreased by hypertension, mobilization, and percutaneous endoscopic gastrostomy. Among the DPs who were admitted to the PCC, the death rate was 54.1% and the discharge rate was 45.9%. Conclusion: It is concluded that adopting a palliative care approach eases symptom management. While this approach decreases the burden of symptoms, it at the same time increases the quality of life of DPs and their families.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A retrospective study examining the properties and characteristics of dementia patients in a palliative care center

Dinçer¹

2018

Turk J Med Sci

View full text Add to dashboard Cite

show abstract

“…With people living longer and suffering more from diseases that are associated with cognitive impairment, the number of people who are demented and may benefit from PC intervention is increasing. Therefore, cognitive impairment and dementia should not be excluded from the palliative care population, since this can threaten the external validity of studies [30, 31]. …”

Section: Discussionmentioning

confidence: 99%

Clinical trials in palliative care: a systematic review of their methodological characteristics and of the quality of their reporting

et al. 2017

View full text Add to dashboard Cite

BackgroundOver the past decades there has been a significant increase in the number of published clinical trials in palliative care. However, empirical evidence suggests that there are methodological problems in the design and conduct of studies, which raises questions about the validity and generalisability of the results and of the strength of the available evidence. We sought to evaluate the methodological characteristics and assess the quality of reporting of clinical trials in palliative care.MethodsWe performed a systematic review of published clinical trials assessing therapeutic interventions in palliative care. Trials were identified using MEDLINE (from its inception to February 2015). We assessed methodological characteristics and describe the quality of reporting using the Cochrane Risk of Bias tool.ResultsWe retrieved 107 studies. The most common medical field studied was oncology, and 43.9% of trials evaluated pharmacological interventions. Symptom control and physical dimensions (e.g. intervention on pain, breathlessness, nausea) were the palliative care-specific issues most studied. We found under-reporting of key information in particular on random sequence generation, allocation concealment, and blinding.ConclusionsWhile the number of clinical trials in palliative care has increased over time, methodological quality remains suboptimal. This compromises the quality of studies. Therefore, a greater effort is needed to enable the appropriate performance of future studies and increase the robustness of evidence-based medicine in this important field.Electronic supplementary materialThe online version of this article (doi:10.1186/s12904-016-0181-9) contains supplementary material, which is available to authorized users.

show abstract

Palliative care in dementia: Does it work?

Cited by 2 publications

References 3 publications

A retrospective study examining the properties and characteristics of dementia patients in a palliative care center

A retrospective study examining the properties and characteristics of dementia patients in a palliative care center

Clinical trials in palliative care: a systematic review of their methodological characteristics and of the quality of their reporting

Contact Info

Product

Resources

About