Development and evaluation of the REACH (Recognise End of life And Care Holistically) out in Dementia toolkit

被引：8

作者：

Potter, Jan M. ^{[1
]}

Fernando, Ramesh ^{[1
]}

Humpel, Nancy ^{[2
]}

机构：

[1] Wollongong Hosp, Dept Aged Care Rehabil & Palliat Care, Illawarra & Shoalhaven Local Hlth Dist, Wollongong, NSW, Australia

[2] Univ Wollongong, Illawarra Hlth & Med Res Inst, Wollongong, NSW, Australia

来源：

AUSTRALASIAN JOURNAL ON AGEING | 2013年 / 32卷 / 04期

关键词：

ACFs; end stage dementia; palliative care; review; PALLIATIVE CARE; OF-LIFE; CHALLENGES; RESIDENTS; SURVIVAL; DISEASE; PEOPLE;

D O I：

10.1111/ajag.12062

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

030301 [社会学]; 100201 [内科学];

摘要：

AimTo identify evidence based signs and symptoms indicative of end stage dementia, and develop the REACH toolkit as an aid for staff to consider a palliative approach. MethodA systematic literature review was conducted of policy, position documents, guidelines and publications from 1988 to 2011. Inclusion criteria were any report or article identifying the signs and symptoms of end stage dementia which were associated with increased mortality and morbidity. ResultsEight signs and symptoms associated with worsening function and increased mortality were identified. These were incorporated into a toolkit. Experienced clinicians reviewed the toolkit. It was then trialled in six aged care facilities (ACFs) and as a result of the trial 182 residents with dementia were identified as being at the end stage. ConclusionsUse of the toolkit improved the recognition of end stage dementia among staff in ACFs.

引用

页码：241 / 246

页数：6

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Abbey J., 2008, CLIN PRACTICE GUIDEL

[2]

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[3]

Treatment of the dying in the acute care hospital - Advanced dementia and metastatic cancer [J].