JAMDA
Volume 10, Issue 1 , Pages 50-55 , January 2009

Educating Nursing Home Staff About the Progression of Dementia and the Comfort Care Option: Impact on Family Satisfaction with End-of-Life Care

  • Marcel Arcand, MD, MSc

      Affiliations

    • Department of Family Medicine, Universite de Sherbrooke, Sherbrooke, Quebec, Canada
    • Corresponding Author InformationAddress correspondence to Marcel Arcand, MD, MSc, Department of Family Medicine, University of Sherbrooke, 1036 Belvedere sud, Sherbrooke, Quebec, J1H 4C4 Canada
    • ,
  • Johanne Monette, MD, MSc

      Affiliations

    • Division of Geriatric Medicine, Sir Mortimer B. Davis-Jewish General Hospital, McGill University, Montreal, Quebec, Canada
    • Solidage-McGill University/Université de Montréal research group on integrated services for older persons, Centre for Clinical Epidemiology and Community studies, Sir Mortimer B. Davis-Jewish General Hospital, McGill University, Montreal, Quebec, Canada
    • Maimonides Geriatric Centre, McGill University, Montreal, Quebec, Canada
    • ,
  • Michèle Monette, MSc

      Affiliations

    • Solidage-McGill University/Université de Montréal research group on integrated services for older persons, Centre for Clinical Epidemiology and Community studies, Sir Mortimer B. Davis-Jewish General Hospital, McGill University, Montreal, Quebec, Canada
    • Maimonides Geriatric Centre, McGill University, Montreal, Quebec, Canada
    • ,
  • Nadia Sourial, MSc

      Affiliations

    • Solidage-McGill University/Université de Montréal research group on integrated services for older persons, Centre for Clinical Epidemiology and Community studies, Sir Mortimer B. Davis-Jewish General Hospital, McGill University, Montreal, Quebec, Canada
    • ,
  • Lynn Fournier, N MSc

      Affiliations

    • Maimonides Geriatric Centre, McGill University, Montreal, Quebec, Canada
    • ,
  • Brian Gore, MD

      Affiliations

    • Maimonides Geriatric Centre, McGill University, Montreal, Quebec, Canada
    • ,
  • Howard Bergman, MD

      Affiliations

    • Division of Geriatric Medicine, Sir Mortimer B. Davis-Jewish General Hospital, McGill University, Montreal, Quebec, Canada
    • Solidage-McGill University/Université de Montréal research group on integrated services for older persons, Centre for Clinical Epidemiology and Community studies, Sir Mortimer B. Davis-Jewish General Hospital, McGill University, Montreal, Quebec, Canada
    • Maimonides Geriatric Centre, McGill University, Montreal, Quebec, Canada

References 

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  21. Ersek M, Grant MM, Miller-Kraybill B. Enhancing end-of-life care in the nursing home: Palliative Care Educational Resource Team (PERT) Program. J Palliat Med. 2005;8:556–566
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  24. Arcand M, Caron C. Comfort care at the end of life for persons with Alzheimer's disease or other degenerative diseases of the brain: A guide for caregivers (Centre de santé et de services sociaux-Institut universitaire de gériatrie de Sherbrooke 2005). www.expertise-sante.com/guides-pratiques.htmAccessed August 20, 2008
  25. Pinderhughes ST, Morrisson RS. Evidence-based approach to management of fever in patients with end-stage dementia. J Palliat Med. 2003;6:351–354
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  27. Caron C, Griffith J, Arcand M. Decision-making at the end-of-life in dementia: how family caregivers perceive their interactions with healthcare providers in long-term care settings. J Appl Gerontol. 2005;22:1–17
  28. McPherson C, Addington-Hall J. Judging the quality of care at the end-of-life: Can proxies provide reliable information?. Soc Sci Med. 2003;56:95–109
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  35. Hanson LC, Eckert JK, Dobbs D, et al. Symptom experience of dying long-term care residents. J Am Geriatr Soc. 2008;56:91–98
  36. Brazil K. Gender differences in spousal caregiving at the end of life. J Palliat Care. 2007;23:235–236
  37. Bern-Klug M. The emotional context facing nursing home resident's families: A call for role reinforcement strategies from nursing homes and the community. J Am Med Dir Assoc. 2008;9:36–44
  38. Engel SE, Kiely DK, Mitchell SL. Satisfaction with end-of-life care for nursing home residents with advanced dementia. J Am Geriatr Soc. 2006;54:1567–1572

 This project was financially supported by Foundation Maimonides Geriatric Centre.

PII: S1525-8610(08)00266-1

doi: 10.1016/j.jamda.2008.07.008

JAMDA
Volume 10, Issue 1 , Pages 50-55 , January 2009

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