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[P2–501]: AN ANALYSIS OF PRIMARY CARE ELEMENTS OF INNOVATIVE PERSONALISED, COMMUNITY‐BASED SUPPORTS FOR PEOPLE WITH DEMENTIA AND THEIR FAMILIES/CARERS IN IRELAND
Author(s) -
Clerkin Pauline,
MacFarlane Anne
Publication year - 2017
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.2017.06.1158
Subject(s) - dementia , multidisciplinary approach , thematic analysis , best practice , nursing , service (business) , service provider , qualitative research , psychology , medicine , sociology , business , political science , disease , pathology , social science , marketing , law
Comparative case studies, with ethnographic data collection over 250 hours, were undertaken in 3 sites to explore how such care was enacted in practice. Results: Integrative analysis highlighted 7 key issues influencing the provision of good EoLC including: early planning discussions; co-ordinating care including liaison between day and night staff and out of hours care; working effectively with primary care; managing hospitalisation; recognising end of life and providing supportive care; ensuring care after death and valuing staff and ensuring ongoing learning.Conclusions:This data, together findings from evidence reviews, informed the development of an evidence-based intervention comprising a Dementia Nurse Care Facilitator and supporting resources (e.g. evidence-based scenarios of common problems in EoLC) which will be evaluated in a forthcoming pilot trial.