Palliative medicine
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Palliative medicine · Apr 2019
A systematic review and critical appraisal of quality indicators to assess optimal palliative care for older people with dementia.
A challenge for commissioners and providers of end-of-life care in dementia is to translate recommendations for good or effective care into quality indicators that inform service development and evaluation. ⋯ We systematically derived and assessed a set of quality indicators using a robust framework that provides clear definitions of aspects of palliative care, which are dementia specific, and strengthens the theoretical underpinning of new complex interventions in end-of-life care in dementia.
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Palliative medicine · Apr 2019
What is the evidence that people with frailty have needs for palliative care at the end of life? A systematic review and narrative synthesis.
The number of older people living and dying with frailty is rising, but our understanding of their end-of-life care needs is limited. ⋯ People with frailty have varied physical and psychosocial needs at the end of life that may benefit from palliative care. Frailty services should be tailored to patient and family needs and preferences at the end of life.