Skip to main content Accessibility help
×
Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-25T06:48:04.880Z Has data issue: false hasContentIssue false

Case 10 - “I Saw the Heavenly Gates”

End-of-Life Care in MNCD

Published online by Cambridge University Press:  31 October 2024

Matthew Gibfried
Affiliation:
Saint Louis University School of Medicine, Missouri
George T. Grossberg
Affiliation:
Saint Louis University School of Medicine, Missouri
Get access

Summary

Primary health care providers and mental health professionals are likely to be engaged with family or care staff with questions regarding end-of-life care issues in those in the terminal stages of major neurocognitive disorders. Those who provide care in the long-term care setting should be familiar with issues regarding end-of-life care in MNCD. Palliative care is an approach to medical care that focuses on providing relief from pain, other symptoms, and the physical, emotional, and psychosocial stress that individuals with serious illnesses may experience. The primary goal of palliative care is to improve the quality of life for patients and their families, particularly when dealing with complex, chronic, or terminal medical conditions. Hospice care is appropriate for patients that are entering the terminal stage of illness and is provided through a licensed hospice agency. The hospice care model focuses on improving comfort and quality of life. It is a holistic approach that encompasses physical, emotional, social, and spiritual support and can be provided in almost any care setting.

Type
Chapter
Information
Clinical Case Studies in Long-Term Care Psychiatry
Navigating Common Mental Health Challenges in Geriatric Care
, pp. 46 - 51
Publisher: Cambridge University Press
Print publication year: 2024

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

References

Schwartz, D. B., Posthauer, M. E., & O’Sullivan, M. J. (2021). Advancing nutrition and dietetics practice: Dealing with ethical issues of nutrition and hydration. Journal of the Academy of Nutrition and Dietetics, 121 (5), 823831. DOI: 10.1016/j.jand.2020.07.028. PMID: 32988795; PMCID: PMC7518202.CrossRefGoogle ScholarPubMed

Further Reading

Aldridge, M. D., Hunt, L., Husain, M., Li, L., & Kelley, A. (2022). Impact of comorbid dementia on patterns of hospice use. Journal of Palliative Medicine, 25 (3), 396404. https://doi.org/10.1089/jpm.2021.0055CrossRefGoogle ScholarPubMed
Bartley, M. M., Manggaard, J. M., Fischer, K. M., Holland, D. E., & Takahashi, P. Y. (2023). Dementia care in the last year of life: Experiences in a community practice and in skilled nursing facilities. Journal of Palliative Care, 38 (2), 135142. https://doi.org/10.1177/08258597221125607CrossRefGoogle Scholar
Dressler, G., Garrett, S. B., Hunt, L. J., Thompson, N., Mahoney, K., Sudore, R. L., Ritchie, C. S., & Harrison, K. L. (2021). “It’s case by case, and it’s a struggle”: A qualitative study of hospice practices, perspectives, and ethical dilemmas when caring for hospice enrollees with full-code status or intensive treatment preferences. Journal of Palliative Medicine, 24 (4), 496504. https://doi.org/10.1089/jpm.2020.0215CrossRefGoogle ScholarPubMed
Gilissen, J., Hunt, L., Tahir, P., & Ritchie, C. (2020). Protocol: Earlier initiation of palliative care in the disease trajectory of people living with dementia: A scoping review protocol. BMJ Open, 11 (6). https://doi.org/10.1136/bmjopen-2020-044502Google Scholar
Hui, D., Heung, Y., & Bruera, E. (2022). Timely palliative care: Personalizing the process of referral. Cancers, 14 (4) https://doi.org/10.3390/cancers14041047CrossRefGoogle ScholarPubMed
Lassell, K. F., Moreines, L. T., Luebke, M. R., Bhatti, K. S., Pain, K. J., Brody, A. A., & Luth, E. A. (2022). Hospice interventions for persons living with dementia, family members and clinicians: A systematic review. Journal of the American Geriatrics Society, 70 (7), 2134. https://doi.org/10.1111/jgs.17802CrossRefGoogle ScholarPubMed
Miranda, R., Bunn, F., Lynch, J., & Goodman, C. (2019). Palliative care for people with dementia living at home: A systematic review of interventions. Palliative Medicine, 33 (7), 726742. https://doi.org/10.1177/0269216319847092CrossRefGoogle Scholar
Mo, L., Geng, Y., Chang, Y. K., Philip, J., Collins, A., & Hui, D. (2021). Referral criteria to specialist palliative care for patients with dementia: A systematic review. Journal of the American Geriatrics Society, 69 (6), 1659. https://doi.org/10.1111/jgs.17070CrossRefGoogle ScholarPubMed
Parast, L., Tolpadi, A. A., Teno, J., Elliott, M. N., & Price, R. A. (2022). Variation in hospice experiences by care setting for patients with dementia. Journal of the American Medical Directors Association, 23 (9), 1480. https://doi.org/10.1016/j.jamda.2022.03.010CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×