Features of palliative care for patients with dementia

Abstract

The article presents some features of palliative care for elderly and senile patients with dementia. The types and purposes of palliative care for patients with cognitive impairment, the principles of planning of palliative care, the features of nutrition of patients with dementia, the issues of assessing the pain syndrome and the treatment of co-morbidities in patients with dementia are considered.

Keywords

palliative care / dementia / elderly and senile age

References

[1] 1.Паллиативная помощь взрослым и детям: организация и профессиональное обучение: Сборник документов ВОЗ и ЕАПП. – М.: Р. Валент, 2014. – 180 с. [Palliativnaja pomoshh’ vzroslym i detjam: organizacija i professional’noe obuchenie: Sbornik dokumentov VOZ i EAPP. Moscow: R. Valent; 2014. 180 p. (In Russ.)]

[2] 2.Паллиативная помощь в амбулаторных условиях / Под ред. О.Ю. Кузнецовой. – СПб.: ЭЛБИ-СПб, 2016. – 240 с. [Palliativnaja pomoshh’ v ambulatornyh uslovijah. Ed by O.Ju. Kuznecovoj. Saint Petersburg: JeLBI-SPb; 2016. 240 p. (In Russ.)]

[3] 3.How many people are in need of palliative care worldwide? In: Global atlas of palliative care at the end of life. [Электронный ресурс] Geneva: World Health Organization and Worldwide Palliative Care Alliance; 2014. 111 p. URL: http://www.who.int/nmh/Global_Atlas_of_Palliative_Care.pdf (date of access: 10.05.2017).

[4] 4.Порядок оказания паллиативной медицинской помощи взрослому населению, утвержденный приказом Минздрава России от 14.04.2015 г. № 187н. – М., 2015. – 43 с. [Porjadok okazanija palliativnoj medicinskoj pomoshhi vzroslomu naseleniju, utverzhdennyj prikazom Minzdrava Rossii ot 14.04.2015. No 187n. Moscow; 2015. 43 p. (In Russ.)]

[5] 5.Яхно Н.Н., Захаров В.В., Локшина А.Б., и др. Деменции: Руководство для врачей. – 3-е изд. – М.: МЕДпреcс-информ, 2011. – 264 с. [Jahno NN, Zaharov VV, Lokshina AB, et al. Demencii: Rukovodstvo dlja vrachej. 3th ed. Moscow: MEDpress-inform; 2011. 264 p. (In Russ.)]

[6] 6.Van der Steen J, Radbruch L, Hertogh C, et al. White paper defining optimal palliative care in older people with dementia: A Delphi study and recommendations from the European Association for Palliative Care. Palliat Med. 2014;28(3):197-209. doi: 10.1177/0269216313493685.

[7] 7.Hughes JC, Jolley D, Jordan A, Sampson EL. Palliative care in dementia: issues and evidence. Advances in Psychiatric Treatment. 2007;13:251-260. doi: 10.1192/apt.bp.106.003442.

[8] 8.Feldt KS. The checklist of nonverbal pain indicators (CNPI). Pain Manag Nurs. 2000;1(1):13-21.

[9] 9.Horgas AL. Assessing pain in persons with dementia. In: Try This: Best Practices in Nursing Care for Hospitalized Older Adults with Dementia. M. Boltz, series ed. 2003. Fall;1(2). The Hartford Institute for Geriatric Nursing. www.hartfordign.org.

[10] 10.Warden V, Hurley AC, Volicer L. Development and psychometric evaluation of the Pain Assessment in Advanced Dementia (PAINAD) scale. J Am Med Dir Assoc. 2003;4(1):9-15. doi: 10.1097/01.JAM.0000043422.31640.F7.

[11] 11.Rao A, Cohen HJ. Symptom management in the elderly cancer patient: fatigue, pain, and depression. J Natl Cancer Inst Monogr. 2004;32:150. doi: 10.1093/jncimonographs/lgh031.

[12] 12.Sawyer P, Bodner EV, Ritchie CS, Allman RM. Pain and pain medication use in community-dwelling older adults. Am J Ger Pharmacother. 2006;4(4):316-324.

[13] 13.Профилактика, диагностика, и лечение болезни Альцгеймера и других видов деменции в общей врачебной практике: Клинические рекомендации. [Электронный ресурс] Ассоциация врачей общей практики (семейных врачей) Российской Федерации. 2013 г. URL: http://gigabaza.ru/doc/170006-pall.html (дата обращения: 10.05.2017). [Profilaktika, diagnostika, i lechenie bolezni Al’cgejmera i drugih vidov demencii v obshhej vrachebnoj praktike: Klinicheskie rekomendacii. [Jelektronnyj resurs] Associacija vrachej obshhej praktiki (semejnyh vrachej) Russian Federation. 2013. URL: http://gigabaza.ru/doc/170006-pall.html (data obrashhenija: 10.05.2017). (In Russ.)]

RIGHTS & PERMISSIONS

Kuznetsova O.Y., Moiseeva I.E.