IMPLEMENTING AN END-OF-LIFE CARE PROGRAMME FOR NURSING HOME RESIDENTS WITH DEMENTIA: ROLE OF CONTEXT

Nursing homes are a common place of death for people with dementia, however, quality of end-of-life care could be improved. We developed the Compassion Intervention to promote interdisciplinary care for residents with advanced dementia. We implemented a naturalistic study with an Interdisciplinary C...

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Published inInnovation in aging Vol. 1; no. suppl_1; p. 266
Main Authors Moore, K.J., Candy, B., Davis, S., Harrington, J., Kupeli, N., Vickerstaff, V., Jones, L., Sampson, E.L.
Format Journal Article
LanguageEnglish
Published US Oxford University Press 01.07.2017
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Summary:Nursing homes are a common place of death for people with dementia, however, quality of end-of-life care could be improved. We developed the Compassion Intervention to promote interdisciplinary care for residents with advanced dementia. We implemented a naturalistic study with an Interdisciplinary Care Leader working across two nursing homes in the UK. Based on reflections of the Interdisciplinary Care Leader and 48 interviews with healthcare professionals and care workers involved with the two homes, we examined how the intervention worked in practice. Contextual differences were identified between the two sites, with Care Home 2 having lower involvement with external healthcare services and less developed training procedures. Core components were implemented in both care homes but multidisciplinary meetings were only established in Care Home 1. The Intervention prompted efforts to improve advance care plans, pain management and person-centred care. Further testing of the Intervention’s effectiveness in improving end-of-life care is recommended.
ISSN:2399-5300
2399-5300
DOI:10.1093/geroni/igx004.977