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O3‐10‐06: Dissemination and Implementation in Dementia Care: A Mixed‐Methods Systematic Review
Author(s) -
Lourida Ilianna,
Abbott Rebecca A.,
Lang Iain A.,
Rogers Morwenna,
Kent Bridie,
Thompson-Coon Jo
Publication year - 2016
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2016.06.566
Subject(s) - dementia , data extraction , best practice , workload , nursing , inclusion (mineral) , medicine , data collection , citation , qualitative research , medline , psychology , medical education , disease , computer science , political science , sociology , social science , pathology , world wide web , law , operating system , social psychology
nursing home. The median time between symptom onset and nursing home admission was 5.0 6 5.5 years. In moderate and severe dementia stages almost all patients suffered from severe disabilities including impairment of language, gait, swallowing and of the ability to care for themselves. 16% of the patients had got enteral tube feeding. Comorbid somatic diseases were diagnosed in 46% of the patients. 23% of the deceased patients had been admitted into a hospital before death. Cardiovascular disease and respiratory disease, mostly pneumonia, were the most frequent causes of death. Conclusions: Advanced bvFTD is characterized by severe cognitive impairment and physical disabilities. With progression of the disease, many patients are transferred into a nursing home. BvFTD leads to a premature death. Causes of death are dementia associated in a significant amount of cases. Our findings stress the importance of strategies that maximize patient comfort in advanced disease stages and allow for a peaceful death.