Practical Geriatrics: Palliative Care: Something Else We Can Do for Our Patients

Spiess, Jeffrey L.; Northcott, Colleen J.; Offsay, Julian D.; Crossett, Judith H. W.

doi:10.1176/appi.ps.53.12.1525

Cited by 36 publications

(5 citation statements)

References 10 publications

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“…People with SPMI may experience or respond to symptoms differently and may delay or not seek medical assessment. 6,25,[31][32][33] This response is thought to be multifactorial and related to biological, social, and psychological issues. 6 When these people seek help from health care providers, they may not present in a typical way and a history may be difficult to elicit.…”

Section: Decision Making Capacity and Advance Care Planningmentioning

confidence: 99%

“…36,40,[46][47][48] Health Care Provider Issues. While psychiatry and palliative care possess common philosophies of practice and skill sets, 11,30,31,33,49 health care provider inexperience and discomfort in caring for people with SPMI at end of life is a challenge to the provision of care. 6,25,31,34,[36][37][38]43,45 Health care providers may not be experienced with dying or with mental illness.…”

Section: Decision Making Capacity and Advance Care Planningmentioning

confidence: 99%

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Palliative Care for People with Severe Persistent Mental Illness: A Review of the Literature

Woods

Willison²,

Kington³

et al. 2008

Can J Psychiatry

136

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A systematic overview of the literature on palliative care for people with severe persistent mental illness (SPMI) was conducted to inform clinical practice, research, and education. Empirical studies and nonempirical papers were included. Few empirical studies exist. There is even less information about the palliative care needs of, or the nature of palliative care provided to, people with SPMI. Mental health, primary care, and palliative care providers need to partner with people who have SPMI in developing and providing palliative care. The field of palliative care for people with SPMI is wide open and in need of methodologically sound studies that will help define the issues that exist for this vulnerable population. Recognizing the similarities between mental health and palliative care should lead to collaborative ventures and discussions in an attempt to address common and parallel issues.

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Section: Decision Making Capacity and Advance Care Planningmentioning

confidence: 99%

Section: Decision Making Capacity and Advance Care Planningmentioning

confidence: 99%

Palliative Care for People with Severe Persistent Mental Illness: A Review of the Literature

Woods

Willison²,

Kington³

et al. 2008

Can J Psychiatry

136

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“…While psychiatrists are positioned to assist caregivers with emotional needs when serving as a consultant or having had a long-standing treatment relationship, with increasing EOL care utilization, providers across specialties and roles will be increasingly called on to engage in educating patients and families as well as providing support throughout the process. [34][35][36] The local Alzheimer's Association (www.alz. org) and the National Hospice and Palliative Care Organization (www.nhpco.org) also provide such support.…”

Section: Emotional Supportmentioning

confidence: 99%

End-of-Life Care of Persons With Alzheimer Disease: An Update for Clinicians

Trinh

Lee

Kim

2019

Am J Hosp Palliat Care

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While end-of-life (EOL) care has been a relatively common option for patients with terminal cancer, the utilization of EOL care in Alzheimer disease and other dementias has become available more recently. By the time end-stage dementia is present, the clinicians and caregivers become faced with multiple clinical issues—their inability to provide subjective complaints of pain and discomfort, behavioral symptoms, delirium, food refusal, and so on. In addition to providing quality EOL care to the patients, clinicians need to work with their families in an open and empathic manner, assuring that their loved ones will receive supportive measures to keep them comfortable.

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“…It is entirely appropriate, therefore, for mental health services to be involved with those who care for the dying in whatever setting (Spiess et al, 2002). Old age psychiatrists have recognised their more direct role in caring for dying patients for some time (Black & Jolley, 1990.…”

mentioning

confidence: 99%

Palliative care in dementia: issues and evidence

Hughes¹,

Jolley²,

Jordan³

et al. 2007

Adv. psychiatr. treat

101

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Palliative care is an approach that stands well with the aims of person-centred dementia care. There is no doubt that the standards of care for many people with advanced dementia are poor. There is a lack of good-quality evidence, however, to support any particular approach for palliative care in dementia. Still, there are a number of areas in relation to caring for people with severe dementia where a palliative approach might be beneficial. In general, the relevant decisions have to be made on an individual basis but within a palliative framework. Advance care planning is likely to be crucial in encouraging this process. There is certainly a moral imperative behind the idea that care at the end of life for people with dementia should be improved.

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Practical Geriatrics: Palliative Care: Something Else We Can Do for Our Patients

Cited by 36 publications

References 10 publications

Palliative Care for People with Severe Persistent Mental Illness: A Review of the Literature

Palliative Care for People with Severe Persistent Mental Illness: A Review of the Literature

End-of-Life Care of Persons With Alzheimer Disease: An Update for Clinicians

Palliative care in dementia: issues and evidence

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