Palliative care for patients with dementia

A national survey

Alexia Torke, Laura R. Holtz, Siu Hui, Peter Castelluccio, Stephen Connor, Matthew A. Eaton, Greg Sachs

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

OBJECTIVES: To determine the extent to which hospice and nonhospice palliative care (PC) programs provide services to patients with dementia and to describe barriers and facilitators to providing nonhospice PC. DESIGN: Telephone and Web-based surveys. SETTING: U.S. hospice and PC programs from the National Hospice and Palliative Care Organization's program list. PARTICIPANTS: Executive directors of 240 hospice programs, 173 programs providing hospice and nonhospice PC, and 13 programs providing nonhospice PC. MEASUREMENTS: A telephone survey of hospice and PC providers followed by an online survey of programs providing nonhospice PC. RESULTS: Ninety-four percent of hospices and 72% of PC programs had served at least one patient with a primary diagnosis of dementia within the past year. Based on 80 responses to the online survey, the most highly rated barriers to providing PC were lack of awareness of PC by families and referring providers, need for respite services, and reimbursement policies. Highly rated needs were family information, assistance with caregiver burden, and behavioral symptoms. Strategies critical for success were an interdisciplinary team, collaboration with community organizations, and alternatives to aggressive end-of-life care. CONCLUSION: Almost all hospices and a majority of nonhospice PC programs serve patients with dementia. Education and policy efforts should focus on education for families and providers, support for caregivers, and reforming reimbursement structures to provide coverage for interdisciplinary PC earlier in the disease, when patients have high needs but are not hospice eligible.

Original languageEnglish
Pages (from-to)2114-2121
Number of pages8
JournalJournal of the American Geriatrics Society
Volume58
Issue number11
DOIs
StatePublished - Nov 2010

Fingerprint

Palliative Care
Dementia
Hospice Care
Hospices
Telephone
Surveys and Questionnaires
Caregivers
Organizations
Education
Behavioral Symptoms
Terminal Care

Keywords

  • dementia
  • hospice
  • palliative care

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Palliative care for patients with dementia : A national survey. / Torke, Alexia; Holtz, Laura R.; Hui, Siu; Castelluccio, Peter; Connor, Stephen; Eaton, Matthew A.; Sachs, Greg.

In: Journal of the American Geriatrics Society, Vol. 58, No. 11, 11.2010, p. 2114-2121.

Research output: Contribution to journalArticle

Torke, Alexia ; Holtz, Laura R. ; Hui, Siu ; Castelluccio, Peter ; Connor, Stephen ; Eaton, Matthew A. ; Sachs, Greg. / Palliative care for patients with dementia : A national survey. In: Journal of the American Geriatrics Society. 2010 ; Vol. 58, No. 11. pp. 2114-2121.
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