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Dementia and
Palliative Care
Palliative CareThe world health organization (WHO) defines
palliative care as the following:
Palliative care is an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual.
Key Principles
• Focus on quality of life which includes good symptom control
• Whole person approach taking into account the person’s past life experiences and current situation
• Care which encompasses both the person with the life threatening disease and those that matter to them
• Respect for person’s autonomy and choice• Emphasis on open and sensitive communication,
which extends to patients, informal carers and professional colleagues
Palliative Care Approach in Dementia
Why?• Equity• Approach is
suitable/helpful• Similar needs• Focus on quality
not quantity
• Access• Trajectory• Communication• Symptom experience• Ability to participate
in care• Relationships• Autonomy
Trajectory
0
10
20
30
40
50
60
70
80
90
C onfusion Incontine nce Pain low m ood constipation loss of appe ti te
DementiaCancer
How Do We Address the Challenges?
• Recognition
• Clinical science
• Communication
• Education
• Environment
• Values
• Ethics
• Partnership
Palliative Care Approach in Dementia
‘You matter because you are you, and you matter until the last moment of your life’
Dame Cecily SaundersMission statementSt. Christopher’s hospice
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