Hintergrund: To ensure that people with dementia can be actively involved in care planning, early discussion of care planning issues is of central importance [1]. The concept of the so-called Advance Care Planning (ACP) offers a promising way to take into account their individual wishes regarding end-of-life care and treatment [2].
Zielsetzung: The aim of this paper is to provide an overview of the evidence regarding ACP in people with dementia.
Methode: A systematic literature search was conducted in the international databases Medline, PsycINFO, Scopus, CINAHL, and CENTRAL for the period from January 2017 to April 2023. The quality of the included studies was assessed using the Critical Appraisal Skills Program (CASP).
Praxisbezug: : ACP interventions can have a positive impact on the final stage of life for people with dementia. Proven ACP strategies, such as training sessions, workshops, and videos on ACP, should therefore be more widely implemented in practice. People with dementia should be proactively involved in this process at an early stage.
Literaturverzeichnis:
1 Van der Steen, J. T., Radbruch, L., Hertogh, C. M., de Boer, M. E., Hughes, J. C., Larkin, P., … & European Association for Palliative Care (EAPC). (2014). 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, 28(3), 197-209.
2 Dixon, J., Karagiannidou, M., & Knapp, M. (2018). The effectiveness of advance care planning in improving end-of-life outcomes for people with dementia and their carers: a systematic review and critical discussion. Journal of pain and symptom management, 55(1), 132-150.
Vortrag vorgestellt auf dem 12. Kongress der Deutschen Alzheimergesellschaft am 11.10.2024
Jana Rühl
