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People with mid-stage dementia are served by special care units in long-term care facilities, although as these residents deteriorate, they are transferred out of the unit and into a general nursing home unit. These nursing homes are not equipped to deal with palliative needs of end-stage dementia care. The book addresses those needs. With this in mind, Part One examines the stages of dementia end-stage in particular. Other chapters in this section provide background on the hospice movement and hospice concepts; the idea of maintaining personhood; and administration of a late-stage care unit. Part Two focuses on treatment approaches for common needs in end-stage dementia - medical and physical care; a supportive environment; the fundamentals of care; psychopharmacology; and therapeutic activities. Part 3 contains chapters on family-centred care; legal and ethical issues; programme evaluation; and future opportunities.
| Contributors | ||
| Preface | ||
| Acknowledgments | ||
| Ch. 1 | Stages of Dementia: An Overview | 3 |
| Ch. 2 | Palliative Care for Late-Stage Dementia | 13 |
| Ch. 3 | Maintaining Personhood: Philosophy, Goals, Program Development, and Staff Education | 25 |
| Ch. 4 | Administration of a Late-Stage Dementia Program in the Nursing Home Setting | 45 |
| Ch. 5 | Medical Care During Late-Stage Dementia | 59 |
| Ch. 6 | Treatment Approaches to Common Physical Care Needs | 73 |
| Ch. 7 | Strategies for Eating, Swallowing, and Dysphagia | 85 |
| Ch. 8 | A Supportive Environment for People With Late-Stage Dementia | 101 |
| Ch. 9 | Communications and Fundamentals of Care: Bathing, Grooming, and Dressing | 113 |
| Ch. 10 | Behaviors Associated With Late-Stage Dementia | 127 |
| Ch. 11 | Psychopharmacology and Late-Stage Dementia Behaviors | 143 |
| Ch. 12 | Therapeutic Activities for Low Functioning Older Adults With Dementia | 157 |
| Ch. 13 | Working With the Family | 171 |
| Ch. 14 | Making Change Work: Understanding Concepts and Strategies | 189 |
| Ch. 15 | Legal and Ethical Issues | 207 |
| Ch. 16 | Program Evaluation | 221 |
| Ch. 17 | Future Challenges and Considerations | 227 |
| Index | 233 |
Overview
People with mid-stage dementia are served by special care units in long-term care facilities, although as these residents deteriorate, they are transferred out of the unit and into a general nursing home unit. These nursing homes are not equipped to deal with palliative needs of end-stage dementia care. The book addresses those needs. With this in mind, Part One examines the stages of dementia end-stage in particular. Other chapters in this section provide background on the hospice movement and hospice concepts; ...