Prevalence of Dementia in a Geriatric Palliative Care Unit

Lo, Amanda; Karuza, Jurgis; Berall, Anna; Perri, Giulia-Anna

doi:10.1177/1049909117737300

Cited by 6 publications

(5 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Similar studies have shown a higher prevalence rate of around 11 to 15% for patients admitted to a PCU with a diagnosis of dementia. 8,25 This discrepancy may indicate that the electronic medical record (EMR) used for data retrieval in this study did not appropriately capture all patients with dementia who were admitted to the PCU, which may have underestimated the total number of patients on the PCU with dementia. Alternatively, this may represent underdiagnosis of dementia by the clinician, which underpins the importance of diagnosing and prognosticating patients early with dementia to ensure they are obtaining appropriate care, especially at the end of life.…”

Section: Discussionmentioning

confidence: 92%

“…4,5 Palliative care units (PCUs) are one option for continued care for patients with advanced dementia, however, studies show that less than 10% of new admissions to PCUs have a primary diagnosis of advanced dementia. [6][7][8][9] Furthermore, there is an increased tendency for burdensome investigations and treatments, even though there is mounting evidence that both formal and informal caregivers agree with a palliative approach. 10,11 Alzheimer's disease, the most common form of dementia, is associated with decreased levels of acetylcholine secondary to loss of cholinergic neurons in the brain.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Cholinesterase Inhibitor Use in Patients With Dementia Admitted to a Palliative Care Unit

Perri

Wilson

Gardner

et al. 2021

Am J Hosp Palliat Care

Self Cite

View full text Add to dashboard Cite

Objectives: Current guidelines suggest that patients with severe dementia on cholinesterase inhibitors (CHEIs) should discontinue their CHEIs by taper. This study aims to define the prevalence of patients admitted to a palliative care unit (PCU) with dementia on a CHEI and to determine whether these patients were tapered off their CHEIs according to current deprescribing guidelines. Design: This is a descriptive retrospective chart review that examined patients admitted to a PCU with dementia on a CHEI from January 2015 to June 2019. Methods: Individuals admitted to the PCU with a primary or comorbid diagnosis of dementia were identified. Their corresponding CHEI dose, frequency and discontinuation pattern were identified. Data were analyzed using descriptive statistics. Results: A total of 36 patients were admitted to the PCU with dementia on a CHEI (prevalence of 2.3%). The median length of stay was 21 days. For 31 of these patients, their CHEI was discontinued, only 9 of which had a taper. Of the 24 patients who discontinued their CHEI suddenly, 10 patients had an order to discontinue their CHEI in the last 2 days before their date of death. Conclusion: This study suggests that although patients admitted to a PCU with dementia have their CHEI discontinued, the discontinuation was done without a taper. In many cases the CHEIs were continued through the active stage of dying. Future work should explore reasons why PCU physicians are mostly late to taper CHEIs for patients admitted with dementia.

show abstract

Section: Discussionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Cholinesterase Inhibitor Use in Patients With Dementia Admitted to a Palliative Care Unit

Perri

Wilson

Gardner

et al. 2021

Am J Hosp Palliat Care

Self Cite

View full text Add to dashboard Cite

show abstract

“…Un valor similar se obtuvo en el reciente estudio de una Unidad de Cuidados Paliativos publicado en 2017 por Lo y cols. 9 , con un tamaño muestral de 780 pacientes, y en el que solo el 4 % de la muestra padecía una demencia avanzada.…”

Section: Discusión Y Conclusionesunclassified

¿Cómo es la atención médica urgente a pacientes en seguimiento por un Equipo de Soporte Domiciliario?

González¹,

Monedero²,

López³

et al. 2019

j.medipa

View full text Add to dashboard Cite

¿Cómo es la atención médica urgente a pacientes en seguimiento por un equipo domiciliario? y empleó opioides en el 27,5 % de los casos, ansiolíticos en el 13,5% y antiinflamatorios no esteroideos (AINE) en el 9,5 %. Durante el seguimiento, de los 76 pacientes que fallecieron (81,7 %), el 32,3 % lo hizo en el domicilio, el 21,5 % en una Unidad de Cuidados Paliativos, el 20,4 % hospitalizados y el 7,5 % en Urgencias. Conclusiones: El motivo más frecuente de consulta urgente es la disnea, seguida del mal control del dolor. En su mayoría son pacientes oncológicos, atendidos fuera del horario del ESAD. El perfil del paciente que representa nuestra muestra es el de un paciente de unos 78 años, con una enfermedad oncológica en fase terminal, en seguimiento por un equipo de ESAD. Un tercio del total de los pacientes termina falleciendo en el domicilio.

show abstract

“…According to the World Health Organization, approximately 55 million people worldwide are currently physically, psychologically, socially, and economically impacted by dementia, and this number is expected to increase [ 1 ]. Dementia is characterized as a progressive chronic neurocognitive disease that impacts one or more cognitive domains, causing loss of verbal abilities and resulting in a complete dependence in activities of daily living [ 2 ]. International research shows that more than half of nursing home residents suffer from dementia [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Content and comprehensiveness in the nursing documentation for residents in long-term dementia care: a retrospective chart review

Laukvik

Lyngstad²,

Rotegård³

et al. 2022

BMC Nurs

View full text Add to dashboard Cite

Background Insight into and understanding of content and comprehensiveness in nursing documentation is important to secure continuity and high-quality care planning in long-term dementia care. The accuracy of nursing documentation is vital in areas where residents have difficulties in communicating needs and preferences. This study described the content and comprehensiveness of nursing documentation for residents living with dementia in nursing homes. Methods We used a retrospective chart review to describe content and comprehensiveness in the nursing documentation. Person-centered content related to identity, comfort, inclusion, attachment, and occupation was identified, using an extraction tool derived from person-centered care literature. The five-point Comprehensiveness in the Nursing Documentation scale was used to describe the comprehensiveness of the nursing documentation in relation to the nursing process. Results The residents’ life stories were identified in 16% of the reviewed records. There were variations in the identified nursing diagnoses related to person-centered information, across all the five categories. There were variations in comprehensiveness within all five categories, and inclusion and occupation had the least comprehensive information. Conclusion Findings from this study highlights challenges in documenting person-centered information in a comprehensive way. To improve nursing documentation of residents living with dementia in nursing homes, nurses need to include residents’ perspectives and experiences in their planning and evaluation of care.

show abstract

Prevalence of Dementia in a Geriatric Palliative Care Unit

Cited by 6 publications

References 20 publications

Cholinesterase Inhibitor Use in Patients With Dementia Admitted to a Palliative Care Unit

Cholinesterase Inhibitor Use in Patients With Dementia Admitted to a Palliative Care Unit

¿Cómo es la atención médica urgente a pacientes en seguimiento por un Equipo de Soporte Domiciliario?

Content and comprehensiveness in the nursing documentation for residents in long-term dementia care: a retrospective chart review

Contact Info

Product

Resources

About