Susan Elizabeth Ashton1, Brenda Roe2, Barbara Jack3, Bob McClelland4. 1. Faculty of Education, Health and Community, Liverpool John Moores University, Liverpool, United Kingdom s.e.ashton@ljmu.ac.uk. 2. Evidence-based Practice Research Centre, Faculty of Health & Social Care, Edge Hill University, Ormskirk, United Kingdom. 3. Evidence-Based Practice Research Centre (EPRC), Faculty of Health and Social Care, Edge Hill University, Ormskirk, United Kingdom. 4. Centre for Public Services Management, Liverpool John Moores University, Liverpool Business School, Liverpool, United Kingdom.
Abstract
BACKGROUND: End of life decisions for people with advanced dementia are reported as often being difficult for families as they attempt to make appropriate and justified decisions. AIM: To explore the experiences of advance care planning amongst family caregivers of people with advanced dementia. DESIGN: Qualitative research including a series of single cases (close family relatives). METHODS: A purposive sample of 12 family caregivers within a specialist dementia unit was interviewed about their experiences of advance care planning between August 2009 and February 2010. RESULTS/ FINDINGS: Family caregivers need encouragement to ask the right questions during advance care planning to discuss the appropriateness of nursing and medical interventions at the end of life. CONCLUSIONS: Advance care planning can be facilitated with the family caregiver in the context of everyday practice within the nursing home environment for older people with dementia.
BACKGROUND: End of life decisions for people with advanced dementia are reported as often being difficult for families as they attempt to make appropriate and justified decisions. AIM: To explore the experiences of advance care planning amongst family caregivers of people with advanced dementia. DESIGN: Qualitative research including a series of single cases (close family relatives). METHODS: A purposive sample of 12 family caregivers within a specialist dementia unit was interviewed about their experiences of advance care planning between August 2009 and February 2010. RESULTS/ FINDINGS: Family caregivers need encouragement to ask the right questions during advance care planning to discuss the appropriateness of nursing and medical interventions at the end of life. CONCLUSIONS: Advance care planning can be facilitated with the family caregiver in the context of everyday practice within the nursing home environment for older people with dementia.
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