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Advance care planning and palliative medicine in advanced dementia: a literature review

  • Ketan Dipak Jethwa (a1) and Oluwademilade Onalaja (a2)
Abstract
Aims and method

To assess the factors that affect the clinical use of advanced care planning and palliative care interventions in patients with dementia. A literature search of Medline, Embase and PsycINFO was performed to identify themes in advanced care planning and palliative care in dementia.

Results

In total, 64 articles were found, including 12 reviews, and three key areas emerged: barriers to advanced care planning, raising awareness and fostering communication between professionals and patients, and disease-specific interventions.

Clinical implications

Most of the studies analysed were carried out in the USA or Continental Europe. This narrative review aims to help guide future primary research, systematic reviews and service development in the UK.

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Copyright
This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence to K. D. Jethwa (kdjethwa@doctors.org.uk)
Footnotes
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Declaration of interest

None.

Footnotes
References
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1 National Institute for Health and Clinical Excellence. Dementia: Supporting People with Dementia and Their Carers in Health and Social Care (CG42). NICE, 2006.
2 Rosen, A, Killaspy, H, Harvey, C. Specialisation and marginalisation: how the assertive community treatment debate affects individuals with complex mental health needs. Psychiatrist 2013; 37: 345–8.
3 Gama, A, Flores, F, Vilchez, S, Pozon, A, Sola, J. Advance care planing in Alzheimer disease. A multidisciplinary strategy. Eur Geriatr Med 2013; 4 (Suppl): S37.
4 Sampson, EL, Jones, L, Thun-Boyle, IC, Kukkastenvehmas, R, King, M, Leurent, B, et al. Palliative assessment and advance care planning in severe dementia: an exploratory randomized controlled trial of a complex intervention. Palliat Med 2011; 25: 197209.
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Advance care planning and palliative medicine in advanced dementia: a literature review

  • Ketan Dipak Jethwa (a1) and Oluwademilade Onalaja (a2)
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