Transcript Document
Dementia and Palliative Care Palliative Care The world health organization (WHO) defines palliative care as the following: Palliative care is an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual. Key Principles • Focus on quality of life which includes good symptom control • Whole person approach taking into account the person’s past life experiences and current situation • Care which encompasses both the person with the life threatening disease and those that matter to them • Respect for person’s autonomy and choice • Emphasis on open and sensitive communication, which extends to patients, informal carers and professional colleagues Palliative Care Approach in Dementia Why? • Equity • Approach is suitable/helpful • Similar needs • Focus on quality not quantity • • • • • Access Trajectory Communication Symptom experience Ability to participate in care • Relationships • Autonomy Trajectory Dementia Cancer 90 80 70 60 50 40 30 20 10 0 Confusion Incontinence Pain low mood constipation loss of appetite How Do We Address the Challenges? • • • • Recognition Clinical science Communication Education • • • • Environment Values Ethics Partnership Palliative Care Approach in Dementia ‘You matter because you are you, and you matter until the last moment of your life’ Dame Cecily Saunders Mission statement St. Christopher’s hospice