TY - JOUR
T1 - Palliative care in advanced dementia
T2 - Comparison of strategies in three countries
AU - Sternberg, Shelley A.
AU - Shinan-Altman, Shiri
AU - Volicer, Ladislav
AU - Casarett, David J.
AU - van der Steen, Jenny T.
N1 - Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021/4/22
Y1 - 2021/4/22
N2 - Palliative care including hospice care is appropriate for advanced dementia, but policy initiatives and implementation have lagged, while treatment may vary. We compare care for people with advanced dementia in the United States (US), The Netherlands, and Israel. We conducted a narrative literature review and expert physician consultation around a case scenario focusing on three domains in the care of people with advanced dementia: (1) place of residence, (2) access to palliative care, and (3) treatment. We found that most people with advanced dementia live in nursing homes in the US and The Netherlands, and in the community in Israel. Access to specialist palliative and hospice care is improving in the US but is limited in The Netherlands and Israel. The two data sources consistently showed that treatment varies considerably between countries with, for example, artificial nutrition and hydration differing by state in the US, strongly discouraged in The Netherlands, and widely used in Israel. We conclude that care in each country has positive elements: hospice availability in the US, the general palliative approach in The Netherlands, and home care in Israel. National Dementia Plans should include policy regarding palliative care, and public and professional awareness must be increased.
AB - Palliative care including hospice care is appropriate for advanced dementia, but policy initiatives and implementation have lagged, while treatment may vary. We compare care for people with advanced dementia in the United States (US), The Netherlands, and Israel. We conducted a narrative literature review and expert physician consultation around a case scenario focusing on three domains in the care of people with advanced dementia: (1) place of residence, (2) access to palliative care, and (3) treatment. We found that most people with advanced dementia live in nursing homes in the US and The Netherlands, and in the community in Israel. Access to specialist palliative and hospice care is improving in the US but is limited in The Netherlands and Israel. The two data sources consistently showed that treatment varies considerably between countries with, for example, artificial nutrition and hydration differing by state in the US, strongly discouraged in The Netherlands, and widely used in Israel. We conclude that care in each country has positive elements: hospice availability in the US, the general palliative approach in The Netherlands, and home care in Israel. National Dementia Plans should include policy regarding palliative care, and public and professional awareness must be increased.
KW - Cross-cultural comparison
KW - Dementia
KW - Health policy
KW - Palliative care
UR - http://www.scopus.com/inward/record.url?scp=85106162702&partnerID=8YFLogxK
U2 - https://doi.org/10.3390/GERIATRICS6020044
DO - https://doi.org/10.3390/GERIATRICS6020044
M3 - مقالة
SN - 2308-3417
VL - 6
JO - Geriatrics (Switzerland)
JF - Geriatrics (Switzerland)
IS - 2
M1 - 44
ER -
