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Top Ten Tips Palliative Care Clinicians Should Know About Cognitive Impairment and Institutional Care


Schlögl, Mathias; Riese, Florian; Little, Milta O; Blum, David; Jox, Ralf J; O'Neill, Lynn; Pautex, Sophie; Piers, Ruth; Way, Deborah; Jones, Christopher A (2020). Top Ten Tips Palliative Care Clinicians Should Know About Cognitive Impairment and Institutional Care. Journal of Palliative Medicine, 23(11):1525-1531.

Abstract

Most long-term care (LTC) residents are of age >65 years and have multiple chronic health conditions affecting their cognitive and physical functioning. Although some individuals in nursing homes return home after receiving therapy services, most will remain in a LTC facility until their deaths. This article seeks to provide guidance on how to assess and effectively select treatment for delirium, behavioral and psychological symptoms for patients with dementia, and address other common challenges such as advanced care planning, decision-making capacity, and artificial hydration at the end of life. To do so, we draw upon a team of physicians with training in various backgrounds such as geriatrics, palliative medicine, neurology, and psychiatry to shed light on those important topics in the following "Top 10" tips.

Abstract

Most long-term care (LTC) residents are of age >65 years and have multiple chronic health conditions affecting their cognitive and physical functioning. Although some individuals in nursing homes return home after receiving therapy services, most will remain in a LTC facility until their deaths. This article seeks to provide guidance on how to assess and effectively select treatment for delirium, behavioral and psychological symptoms for patients with dementia, and address other common challenges such as advanced care planning, decision-making capacity, and artificial hydration at the end of life. To do so, we draw upon a team of physicians with training in various backgrounds such as geriatrics, palliative medicine, neurology, and psychiatry to shed light on those important topics in the following "Top 10" tips.

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Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Radiation Oncology
04 Faculty of Medicine > Psychiatric University Hospital Zurich > Clinic for Psychiatry, Psychotherapy, and Psychosomatics
04 Faculty of Medicine > University Hospital Zurich > Clinic for Geriatric Medicine
08 Research Priority Programs > Dynamics of Healthy Aging
Dewey Decimal Classification:150 Psychology
Scopus Subject Areas:Health Sciences > General Nursing
Health Sciences > Anesthesiology and Pain Medicine
Language:English
Date:November 2020
Deposited On:08 Dec 2020 13:53
Last Modified:18 Dec 2020 12:34
Publisher:Mary Ann Liebert
ISSN:1557-7740
OA Status:Closed
Publisher DOI:https://doi.org/10.1089/jpm.2020.0552
PubMed ID:32955961

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