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Support for families of patients dying with dementia: A qualitative analysis of bereaved family members' experiences and suggestions

Published online by Cambridge University Press:  13 February 2014

Pia Muders
Affiliation:
Interdisciplinary Palliative Care Unit, III. Department of Medicine, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
Corinna Aruna Zahrt-Omar
Affiliation:
Interdisciplinary Palliative Care Unit, III. Department of Medicine, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
Sonja Bussmann
Affiliation:
Interdisciplinary Palliative Care Unit, III. Department of Medicine, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
Julia Haberstroh
Affiliation:
Interdisciplinary Ageing Research, Faculty of Educational Sciences, Goethe University, Frankfurt am Main, Germany
Martin Weber*
Affiliation:
Interdisciplinary Palliative Care Unit, III. Department of Medicine, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
*
Address correspondence and reprint requests to: Martin Weber, Interdisciplinary Palliative Care Unit, III. Department of Medicine, University Medical Center of the Johannes Gutenberg University of Mainz, Langenbeckstrasse 1, D-55131 Mainz, Germany. E-mail: [email protected]

Abstract

Objective:

To explore and document the needs of family caregivers of patients dying with dementia and to identify how healthcare professionals can adequately support them.

Method:

We employed a cross-sectional survey containing open-ended questions that were analyzed using qualitative methods.

Results:

Receiving information about the diagnosis and disease trajectory of dementia is essential for the caregiving families of people dying with the disease. However, at present the communication of information offered by professionals is not experienced as satisfying. Further aspects that require improvement concern issues related to time constraints, as well as practical and emotional support from professionals in the care setting. Family members would also like professionals to better assist them during and after the dying process.

Significance of Results:

Family members face multiple burdens while caring for their demented relatives and need more professional support during the course of the disease trajectory as well as in the terminal phase.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2014 

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Footnotes

*

These authors contributed equally.

References

REFERENCES

Adler, G., Kuskowski, M.A. & Mortimer, J. (1995). Respite use in dementia patients. Clinical Gerontologist, 15(3), 1730.Google Scholar
Baumgarten, M., Battista, R.N., Infante-Rivard, C., et al. (1992). The psychological and physical health of family members caring for an elderly person with dementia. Journal of Clinical Epidemiology, 45(1), 6170.Google Scholar
Bickel, H. (2012). Die Epidemiologie der Demenz. Retrieved July 30, 2013 from http://www.deutsche-alzheimer.de/fileadmin/alz/pdf/factsheets/FactSheet01_2012.pdf.Google Scholar
Bleidorn, J., Pahlow, H., Klindtworth, K., et al. (2012). Versorgung von Menschen am Lebensende. Erfahrungen und Erwartungen von hinterbliebenen Angehörigen. Deutsche Medizinische Wochenschrift, 137, 13431348.Google Scholar
Brodaty, H. & Donkin, M. (2009). Family caregivers of people with dementia. Dialogues in Clinical Neuroscience, 11(2), 217228.Google Scholar
Brodaty, H., Green, A. & Koschera, A. (2003). Meta-analysis of psychosocial interventions for caregivers of people with dementia. Journal of the American Geriatrics Society, 51, 657664.Google Scholar
Clyburn, L.D., Stones, M.J., Hadjistavropoulos, T., et al. (2000). Predicting caregiver burden and depression in Alzheimer's disease. The Journals of Gerontology, B: Psychological Sciences and Social Sciences 55B(1), S2S13.Google Scholar
Escobar Pinzon, L.C., Munster, E., Fischbeck, S., et al. (2010). End-of-life care in Germany: Study design, methods and first results of the EPACS (Establishment of Hospice and Palliative Care Services in Germany) study. BMC Palliative Care, 9, 16.Google Scholar
Gerhard, C. & Bollig, G. (2007). Palliative Care für Patienten mit fortgeschrittener Demenz. Zeitschrift für Palliativmedizin, 8(2), 6972.Google Scholar
Gräßel, E. (1998). Häusliche Pflege dementiell und nicht dementiell Erkrankter, Teil 2: Gesundheit und Belastung der Pflegenden. Zeitschrift für Gerontologie und Geriatrie, 31, 5762.Google Scholar
Hennings, J., Froggatt, K. & Keady, J. (2010). Approaching the end of life and dying with dementia in care homes: The accounts of family carers. Reviews in Clinical Gerontology, 20(02), 114127.Google Scholar
Hesse-Bieber, S. (2010). Mixed-methods research: Merging theory with practice. New York: Guilford Press.Google Scholar
Holley, C.K. & Mast, B.T. (2009). The impact of anticipatory grief on caregiver burden in dementia caregivers. The Gerontologist, 49(3), 388396.Google Scholar
Hughes, J.C., Jolley, D., Jordan, A., et al. (2007). Palliative care in dementia: Issues and evidence. Advances in Psychiatric Treatment, 13(4), 251260.Google Scholar
Klindtworth, K., Cuno, J., Schneider, N., et al. (2010). Quality management on a palliative care unit: What can be gained from qualitative interviews with patients and their relatives? Zeitschrift für Palliativmedizin, 11(4), 180187.Google Scholar
Kunz, R. (2003). Palliative care for patients with advanced dementia: Evidence-based practice replaced by values-based practice. Zeitschrift für Gerontologie und Geriatrie, 36(5), 355359.Google Scholar
Lawrence, V., Samsi, K., Murray, J., et al. (2011). Dying well with dementia: Qualitative examination of end-of-life care. The British Journal of Psychiatry, 199(5), 417422.Google Scholar
Mayring, Philipp. (2010). Qualitative inhaltsanalyse: Grundlagen und techniken, 11th ed. Weinheim: Beltz.Google Scholar
Papastavrou, E., Kalokerinou, A., Papacostas, S.S., et al. (2007). Caring for a relative with dementia: Family caregiver burden. Journal of Advanced Nursing, 58(5), 446457.Google Scholar
Peacock, S. (2012). The experience of providing end-of-life care to a relative with advanced dementia: An integrative literature review. Palliative & Supportive Care, 11(2), 155168.Google Scholar
Pinquart, M. & Sörensen, S. (2003). Associations of stressors and uplifts of caregiving with caregiver burden and depressive mood-metaanalysis. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 58B(2), P112P128.Google Scholar
Robinson, L., Hughes, J., Daley, S., et al. (2005). End-of-life care and dementia. Reviews in Clinical Gerontology, 15(02), 135.Google Scholar
Shanley, C., Russell, C., Middleton, H., et al. (2011). Living through end-stage dementia: The experiences and expressed needs of family carers. Dementia, 10(3), 325340.Google Scholar
Tappen, R. (2011). Advanced nursing research: From theory to practice. London: Jones & Bartlett Learning International.Google Scholar
Thompson, G.N. & Roger, K. (2013). Understanding the needs of family caregivers of older adults dying with dementia. Palliative & Supportive Care, 19.Google Scholar
Treloar, A., Crugel, M. & Adamis, D. (2009). Palliative and end-of-life care of dementia at home is feasible and rewarding: Results from the “Hope for Home” study. Dementia, 8(3), 335347.Google Scholar
van der Steen, J.T., Radbruch, L., Hertogh, C.M., et al. (2013). White paper defining optimal palliative care in older people with dementia: A Delphi study and recommendations from the European Association for Palliative Care. Palliative Medicine. doi: 10.1177/0269216313493685 [Epub ahead of print].Google Scholar
World Health Organization (WHO) (2013). WHO definition of palliative care. Retrieved July 30, 2013 from http://www.who.int/cancer/palliative/definition/en/.Google Scholar
Zank, S., Schacke, C. & Leipold, B. (2007). Längsschnittstudie zur Belastung pflegender Angehöriger von demenziell Erkrankten. Zeitschrift für Gerontopsychologie—Psychiatrie, 20(4), 239255.Google Scholar
Zieschang, T., Oster, P., Pfisterer, M., et al. (2012). Palliative care for patients with dementia. Zeitschrift für Gerontologie und Geriatrie, 45(1), 5054.Google Scholar