• J Palliat Care · Jan 2009

    Chronic palliative care: specific practices for Alzheimer's disease sufferers.

    • Jean-Christophe Mino and Marie-Odile Frattini.
    • Palliative Care Unit, Pitié Salpêtrière Medical School Hospital, and National Center of Resources for Palliative Care FX Bagnoud, 6 avenue Lemierre, 75980 Paris Cedex 20, France.
    • J Palliat Care. 2009 Jan 1; 25 (4): 257-63.

    IntroductionIn France, the government's plan to combat Alzheimer's disease takes into consideration mostly the beginnings of the disease; it does not deal with the sufferers' end of life. For this pathology, the very idea of a palliative care phase and its definition are not straightforward.MethodThe object of this qualitative study was to clarify this idea through a series of interviews with 44 professionals.ResultsThe study describes three successive phases in the disease trajectory, revealed by changes in the logic of care: the stimulation phase, the chronic palliative care phase, and the terminal palliative phase.ConclusionAlzheimer's disease has a specific phase of chronic palliative care. It presents, for professionals, several types of problems related to communication, pain, and feeding.

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